Guideline for the prevention of intraoperative acquired pressure injury in paraplegic patients with spinal cord injury (version 2025)
- VernacularTitle:脊髓损伤截瘫患者术中获得性压力性损伤预防指南（2025版）
- Author:
Aijun XU
1
;
Shuixia LI
;
Bo CHEN
;
Mengyuan YE
;
Lejiao LANG
;
Ning NING
;
Lin ZHANG
;
Changqing LIU
;
Zhonglan CHEN
;
Weihu MA
;
Weishi LI
;
Xiaoning WANG
;
Dongmei BIAN
;
Jiancheng ZENG
;
Xin WANG
;
Yuan GAO
;
Yaping CHEN
;
Jiali CHEN
;
Yun HAN
;
Xiuting LI
;
Yang ZHOU
;
Xiaojing SU
;
Qiong ZHANG
;
Tianwen HUANG
;
Ping ZHANG
;
Hua LIN
;
Xingling XIAO
;
Ruifeng XU
;
Fanghui DONG
;
Bing HAN
;
Luo FAN
;
Yanling PEI
;
Suyun LI
;
Xiaoju TAN
;
Rongchen GUO
;
Yefang ZOU
;
Xiaoyun HAN
;
Junqin DING
;
Yi WANG
;
Shuhua DENG
;
Jinli GUO
;
Yinhua LIANG
;
Yuan CEN
;
Xiaoqin LIU
;
Junru CHEN
;
Haiyang YU
;
Lunlan LI
;
Ying REN
;
Yunxia LI
;
Jianli LU
;
Ying YING
;
Lan WEI
;
Yin WANG
;
Qinhong XU
;
Yanqin ZHANG
;
Yang LYU
;
Shijun ZHANG
;
Sui WENJIE
;
Sanlian HU
;
Shuhong YANG
;
Guoqing LI
;
Jingjing AN
;
Baorong HE
;
Leling FENG
Author Information
- Publication Type:Journal Article
- Keywords: Spinal cord injuries; Paraplegia; Intraoperative acquired pressure injury; Prevention
- From: Chinese Journal of Trauma 2025;41(6):530-541
- CountryChina
- Language:Chinese
- Abstract: Paraplegia caused by spinal cord injury is a serious neurological complication, for which surgery is currently the main treatment method. Due to different surgical approaches, patients are usually expected to maintain a passive prone position for a long time or switch between the supine and prone positions. Affected by multiple factors such as neurogenic sensory disorders, pathological changes in muscle tone and operative duration, the risk of intraoperative acquired pressure injury (IAPI) is significantly increased. Current clinical prevention strategies for IAPI in these patients predominantly focus on localized pressure relief during positioning, lacking systematic, standardized comprehensive prevention protocols or evidence-based guidelines. To address it, Department of Nursing, Orthopedics Branch, China International Exchange and Promotive Association for Medical and Health Care, Spinal Trauma Professional Committee, Orthopedics Branch, Chinese Medical Doctor Association, Nursing Group of Spine and Spinal Cord Professional Committee of Chinese Association of Rehabilitation Medicine organized experts in relevant fields to formulate Guideline for the prevention of intraoperative acquired pressure injury in paraplegic patients with spinal cord injury ( version 2025), based on evidence-based medical evidence and latest research results and clinical practice at home and abroad. Eleven recommendations were put forward from the aspects of preoperative risk assessment, intraoperative prevention strategies, postoperative handover and monitoring, and supportive mechanisms for IAPI prevention, aiming to standardize the prevention measures and management strategies of IAPI in paraplegic patients with spinal cord injury and accelerate the recovery of patients and improve the therapeutic effect.
