心脏直视手术后病人急性压疮相关因素的研究  

Study of the Correlative Factors of Acute Bed Sore in Patients after Open Heart Surgery

作　　者：吴勤[1] 王鹏巨[1] 王玲[1] 李幼英[1] 张继红[1] 吕润华[1] 

机构地区：[1]中国人民解放军成都部队成都总医院

出　　处：《中华护理杂志》1999年第6期331-333,共3页Chinese Journal of Nursing

摘　　要：采用自制相关因素评估标准，对９４例体外循环下心脏直视手术后入ＩＣＵ的病人，进行急性压疮预测研究。经多元Ｌｏｇｉｓｔｉｃ回归分析，１１个相关因素与急性压疮的发生有密切关系（ｓｉｇ＝０．９０８４，Ｐ＜０．０１），而血管活性药物、动脉氧分压和脉搏３个因素被选入最优方程。进一步筛选出评估总分值≥１４分为预测压疮发生的最佳临界点，预测灵敏度１００％，特异性８８％。结果表明。The purpose of this study was to investigate the predictors of acute bed sore by using the self made assessment standard of correlative factors.Ninety four patients from the Intensive Care Unit after open heart surgery under extracorporeal circulation were studied.After multivariate logistic regression analysis,the 11 correlative factors were closely related to the genesis of acute bed sore Sig=0.908, P<0.01 ),and the regression contributions of Vasoactive agents,arterial PO2 and pulse were greatest.The furtherselected total value of grading (≥14) was the best critical point of the genesis of bed sore.The predictive sensitivity was 100%.The specificity was 88%.The results show that acute bed sore can be predicted effectively by using the asessment of correlative factors.

关 键 词：急性压疮 相关因素 评估标准 心脏直视手术 

分 类 号：R654.2[医药卫生—外科学] R619[医药卫生—临床医学]