严重创伤与急性压疮的相关性研究  

Study on the Correlation between Severe Trauma and Acute Bed Sore

作　　者：吴勤[1] 王鹏巨[1] 王玲[1] 李幼英[1] 刘雯[1] 

机构地区：[1]中国人民解放军成都部队成都总医院ICU,成都市610083

出　　处：《南方护理学报》2000年第2期2-3,共2页Nanfang Journal of Nursing

基　　金：成都军区成都总医院医药卫生科研基金资助项目!(96C14)

摘　　要：目的探索严重创伤患者临床指征与急性压疮发生的相关性．方法对连续住ＩＣＵ的严重创伤患者１３２例进行前瞻性观察。结果急性压疮发生率在胸、腹部创伤患者中较高，并且与创伤严重度评分相关；压疮组患者的心率、血氧饱和度和血糖值三项生理指标与无压疮组相比较有显著性差异（ｔ＝４．２４～９．８３，Ｐ＜０．０１）．结论严重创伤患者急性压疮发生率与创伤部位及创伤严重度相关。心率、血氧饱和度和血糖三项指标对评估创伤患者中急性压疮高危人群有重要意义。Objective To study the correlation between the incidence of acute bed sore(ABS) and the clinical indications in severe trauma patients, Methods A prospective survey was Performed on 132 severe trauma patients hospitalized consecutively in ICU. Results The incidence of ABS was obviously higher in patients with chest and abdominal injury than in the other patients, and a correlation was found between the injury severity scores and the morbidity of ABS. The physiological indices of heart rate, blood oxygen saturation and blood glucose were significantly higher in ABS group than in non-ABS group (t = 4. 24~ 9. 83, P<0. 01 ). Conclusions The incidence of ABS was correlated with injury places and injury seventy scores, and the 3 physiological indices may have an important value for evaluating the susceptible population of ABS in severe trauma patients.

关 键 词：严重创伤 急性压疮 严重度 评分 

分 类 号：R641.06[医药卫生—外科学] R632.102[医药卫生—临床医学]