联合GCS评分和Braden量表评价心肺复苏后脑损伤的压疮风险

发布时间：2019-03-29 12:46

【摘要】：目的探讨联合格拉斯哥昏迷量表(GCS)和Braden压疮危险评估量表评价心肺复苏后脑损伤的压疮风险的价值。方法将45例心肺复苏后缺血缺氧性脑损伤患者依据GCS评分分为2组,其中轻度脑损伤组22例,重度脑损伤组23例。采用Braden压疮危险评估表评估并比较两组病例并发压疮的风险情况。在采取相应护理措施干预后进一步比较两组病例实际发生压疮情况。结果重度脑损伤组并发压疮的风险率高于轻度脑损伤组(P0.001),经护理干预后两组病例压疮实际的发生率均明显低于其预测的风险率,但重度脑损伤组压疮的发生率仍高于轻度脑损伤组(P0.05)。结论联合GCS评分和Braden压疮危险评估量表可以有效评估心肺复苏后脑损伤患者并发压疮的风险,有利于针对病情采取适当的护理措施。
[Abstract]:Objective to evaluate the value of Glasgow coma scale (GCS) combined with Braden pressure ulcer risk Assessment scale (Braden) in evaluating the risk of brain injury after cardiopulmonary resuscitation (CPR). Methods 45 patients with hypoxic-ischemic brain injury after cardiopulmonary resuscitation were divided into two groups according to GCS score, including 22 patients with mild brain injury and 23 patients with severe brain injury. Braden risk assessment scale was used to evaluate and compare the risk of pressure sore in two groups. After the corresponding nursing measures were taken, the actual occurrence of pressure sore between the two groups was further compared. Results the risk rate of pressure sore in severe brain injury group was higher than that in mild brain injury group (P0.001). After nursing intervention, the actual incidence of pressure sore in both groups was significantly lower than the predicted risk rate. However, the incidence of pressure sore in severe brain injury group was still higher than that in mild brain injury group (P0.05). Conclusion the combination of GCS score and Braden pressure sore risk assessment scale can effectively evaluate the risk of brain injury complicated with pressure sore after cardiopulmonary resuscitation, and it is beneficial to take appropriate nursing measures for patients with brain injury after cardiopulmonary resuscitation.
【作者单位】：南方医科大学南方医院神经内科;南方医科大学南方医院急诊科;
【基金】：广东省科技计划项目(编号:2013B021800320,2014A020212539)
【分类号】：R472.2

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