2010/3/31
衛生署豐原醫院 外科
游朝慶
Sessing Scale（SS）
在1995年，Ferrell及Sessing等人發展了Sessing Scale工具，用來評估壓瘡的癒合過程。其為一7分系統（0到6分），此工具評估五個項目包括傷口，滲液，臭味，壞死組織及周邊皮膚，每一項目最高6分，最低為0分，0代表正常，6代表最差。總分是以各項目中最高分數的那一項分數為其總分。分數減少表示傷口有進步1,2。
| 0 | 1 | 2 | 3 | 4 | 5 | 6 | |
| skin at examination site傷口處 | Normal正常 | intact but pale or reddened完整但蒼白或發紅 | edges and center filled in 傷口已長滿 | filling with slough 傷口被腐肉填滿 | moderate granulation tissue中等肉芽組織 | minimal granulation tissue 少量肉芽組織 | ulcer with no granulation tissue無肉芽組織 |
| Drainage滲液 | none | Slight少 | Moderate中量 | abundant 大量 | purulent 有膿 | ||
| Odor臭味 | none | slight 輕微 | moderate 中等 | strong 強烈 | foul 惡臭 | ||
| Necrosis壞死組織 | none | minimal 少量 | mild to moderate 中量 | abundant 大量 | |||
| surrounding skin周邊皮膚 | normal | slightly swollen 輕微浮腫 | red or discolored發紅或變色 | broken 破損 |
其又分為6個時期stage，如下，以各項目符合最嚴重的那一時期為其時期3。
| stage | Description |
| 0 | Normal skin but at risk正常 |
| 1 | Skin completely closed 皮膚完整但有紅斑或褪色 May lack pigmentation or be reddened |
| 2 | Wound edge and center are filled in傷口被填滿，周邊組織無發紅 Surrounding tissue are intact and not reddened |
| 3 | Wound bed filled with granulating tissue傷口床填滿肉芽組織 Slough present有一些乾掉的分泌物 Free of necrotic tissue無壞死組織 Minimal drainage and odor滲液或臭味很少 |
| 4 | Moderate to minimal granulating tissue中度或少量肉芽組織 Slough and minimal necrotizing tissue有少量壞死組織 Moderate drainage and odor中量滲液或臭味 |
| 5 | Presence of heavy drainage and odor, Escher, and slough Surrounding skin reddened or discolored |
| 6 | Breaks in skin around primary ulcer傷口旁皮膚有破損，有膿瘍， Purulent drainage, foul odor, necrotic tissue and/or eschar惡臭 May have sepsis symptoms壞死組織及痂皮，或敗血症狀 |
1. Ferrell BA, Artinian BM, Sessing D. The sessing scale for assessment of pressure ulcer healing. J Am Geriatr Soc. 1995;43(1):37–40.
2. Ferrel, B.A. The Sessing Scale for measurement of pressure ulcer healing. Advances in Wound Care, 1997, 10(5): 78–90.
3. Moya Morison, The prevention and treatment of pressure ulcers , Mosby; 1 edition (December 15, 2000) , p102
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