手术室强迫侧俯卧位患者术中急性压疮发生风险因素的探讨

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Abstract Objective To investigate the risk factors of acute pressure sore in patients with forced lateral prone position in operating room.Methods From December 2017 to December 2018,105 patients with lateral position and prone position who underwent elective operation were selected as the subjects of study.The basic data of the patients and the related factors before operation were analyzed retrospectively,and the occurrence of acute pressure sore during operation was analyzed.The risk factors of acute pressure sore during operation were analyzed by single factor analysis and multivariate Logistic regression analysis.Results There were 12 cases of acute pressure sore in 105 patients,all of them were stageⅠpressure sore,and the incidence of acute pressure sore was 11.43%.Single factor analysis showed that age,body mass index(BMI),preoperative hemoglobin,intraoperative pressure,duration of operation and intraoperative protective measures were associated with the occurrence of acute pressure sore(P＜0.05),while multivariate Logistic regression analysis showed that BMI,preoperative hemoglobin,duration of operation and no protective measures during operation were risk factors for the occurrence of acute pressure sore(P＜0.05).Conclusion The occurrence of acute bedsore in patients with forced lateral prone position in operating room is related to BMI,preoperative hemoglobin,duration of operation and protective measures during operation.Therefore,intervention measures should be taken for related risk factors in order to reduce the incidence of surgical pressure sore.

Key words： Acute pressure sore Forced lateral prone position Risk factors Multivariate analysis

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LIU Fang-lian. Risk factors disscussion of acute pressure sore occcurence in patients with forced lateral prone position in operating room[J]. 中国当代医药, 2019, 26(16): 220-222.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I16/220

[1]	蒋媛.颅脑手术患者术中发生急性压疮的高危因素分析和护理对策[J].齐齐哈尔医学院学报，2015，36（24）：3465-3466.
[4]	王建.俯卧位脊柱手术患者急性压疮的危险因素分析及护理[J].中华现代护理杂志，2010，16（26）：3166-3168.
[5]	楚玲，许小霞，林晓丹，等.应用失效模式和效应分析方法预防手术室患者俯卧位压疮的研究[J].齐齐哈尔医学院学报，2016，37（8）：1102-1104.
[6]	陆琴，王丽.手术患者发生压疮的手术室相关原因以及护理对策分析[J].国际护理学杂志，2014，33（7）：230-231.
[7]	杜美兰.Waterlow压疮评估量表在脊柱俯卧位手术中的应用[J].护士进修杂志，2015，30（13）：1214-1216.
[2]	杨高，李民，胡秋芳，等.围手术期压疮发生的手术室相关原因及护理措施[J].河北医药，2015，26（21）：3352-3354.
[3]	陈珍凤，陈霞，王月青，等.开颅手术患者术中急性压疮的危险因素分析[J].安徽医药，2018，22（8）：1603-1606.
[8]	王艳华.脊柱后路俯卧位手术中预防难免压疮的方法及效果探讨[J].中国医学创新，2014，24（34）：119-121.
[9]	侯晓敏.神经外科手术患者医疗器械相关性压疮的发生原因分析及对策[J].中华现代护理杂志，2017，23（1）：244-245.
[10]	宋辉，王莉，王悦.肿瘤患者术中急性压疮风险评估表的临床应用效果观察[J].天津护理，2017，25（2）：110-112.
[11]	易凤琼，蒋利，林祥容，等.1例侧俯卧位手术患儿发生难免性压疮的病例分析[J].当代护士，2016，（12）：181-183.
[12]	牛彦斌，赵晨，陆利.俯卧位手术压疮评分与手术时间的相关研究[J].中国现代医生，2016，54（3）：86-89.
[13]	方鸳鹓.俯卧位手术患者术中压疮的危险因素分析及护理措施[J].齐齐哈尔医学院学报，2015，28（23）：3567-3568.
[14]	王英丽，蒲霞，张圣洁，等.综合护理干预对降低俯卧位手术患者术中压疮发生率的研究[J].解放军护理杂志，2017，34（20）：72-74.
[15]	肖芳，谢继英，向姿惠.三种体位垫在脊柱手术俯卧位患者术中预防压疮效果的对比[J].当代护士，2016，（5）：93-94.
[16]	娄秋平.两种头面部支撑方法预防脊柱后路手术患者压疮的效果观察[J].浙江医学，2017，39（14）：1226-1227.
[17]	文楚玲，许小霞，林晓丹，等.应用失效模式和效应分析方法预防手术室患者俯卧位压疮的研究[J].齐齐哈尔医学院学报，2016，37（8）：1102-1104.
[18]	郭新霞，郑晓薇.细节管理对预防腰椎俯卧位手术高危部位发生压疮的作用[J].深圳中西医结合杂志，2015，25（13）：154-155.