成人开颅手术压疮的风险因素研究

发布时间：2018-02-21 03:38

  本文关键词： 成人患者 开颅手术 手术压疮 皮肤护理　出处：《中国全科医学》2015年11期 　论文类型：期刊论文

【摘要】：目的探讨成人开颅手术压疮的风险因素,为临床护理工作者科学筛选手术压疮的高危人群,制定预防手术压疮的有效措施提供依据。方法选取2014-03-10至2014-05-10在北京武警总医院神经科学研究所住院并接受开颅手术的成人患者124例。采用临床病例资料回顾性分析的方法,收集研究对象的年龄、性别、体质指数、糖尿病史、术前血红蛋白水平、术前意识状况及肢体活动力、手术时间、术中体位、美国麻醉医师协会(ASA)身体状况分级、术中皮肤护理措施、是否急诊手术、术后皮肤状况等资料。根据患者出手术室时皮肤是否出现压红或压疮分为压疮组和对照组,对两组上述指标进行单因素及多因素Logistic回归分析,得出手术压疮的风险因素。结果压疮组56例,对照组68例。两组患者年龄、体质指数、术前血红蛋白、性别、术中体位比较,差异均无统计学意义(P0.05);两组手术时间、糖尿病史、意识状况、肢体活动力、ASA分级、术中皮肤护理措施和急诊手术比较,差异均有统计学意义(P0.05)。多因素Logistic回归分析结果显示,手术时间≥4.0 h、有糖尿病史是成人开颅手术压疮的危险因素(P0.05)。结论临床护理工作中应注重科学筛选手术压疮的高危人群,手术时间≥4.0 h、有糖尿病史是成人开颅手术压疮的危险因素,应采取针对性干预措施,预防为主,防治结合,以提高手术压疮防控的护理质量。
[Abstract]:Objective to explore the risk factors of pressure sore in adult craniotomy, and to screen the high risk population for clinical nursing workers. Methods 124 adult patients who were hospitalized and underwent craniotomy from 2014-03-10 to 2014-05-10 in the Institute of Neuroscience, Beijing Armed Police General Hospital, were analyzed retrospectively. Age, sex, body mass index (BMI), history of diabetes, preoperative hemoglobin level, preoperative consciousness and limb motility, operative time, intraoperative posture, and ASAs were collected. Intraoperative skin care measures, emergency surgery, postoperative skin conditions and other data. According to whether the patient out of the operating room skin pressure red or pressure sore is divided into pressure sore group and control group, Univariate and multivariate Logistic regression analysis was performed on the two groups, and the risk factors of surgical pressure sore were obtained. Results the age, BMI, preoperative hemoglobin, sex, position during operation were compared between the two groups in 56 cases in the pressure sore group and 68 cases in the control group. There was no significant difference between the two groups in terms of operation time, history of diabetes, consciousness status, classification of limb motility, intraoperative skin nursing measures and emergency operation. The results of multivariate Logistic regression analysis showed that there was no significant difference between the two groups. Operation time 鈮，

本文编号：1520886