营养相关指标在压疮护理中的应用  

Application of Nutrition-related Indicators in Pressure Ulcer Nursing

作　　者：刘惠[1] 于竞璟[1] 邵丽[1] 

机构地区：[1]新疆医科大学第一附属医院手术室,新疆乌鲁木齐830054

出　　处：《继续医学教育》2015年第8期112-114,共3页Continuing Medical Education

摘　　要：目的 探讨营养相关指标在压疮护理中的应用。方法 收集研究对象的性别、年龄、红细胞计数、血红蛋白浓度、白蛋白浓度等指标,采用Braden评估表对压疮患者进行评分。同时随机将Ⅲ～Ⅳ期患者分为常规护理组,人血白蛋白10 g组,人血白蛋白20 g组,并记录压疮愈合时间。结果 压疮患者红细胞计数及血红蛋白浓度均低于正常人群,且Ⅲ～Ⅳ期压疮患者红细胞计数及血红蛋白浓度较Ⅰ～Ⅱ期压疮患者更低。虽然Ⅰ～Ⅱ期压疮患者白蛋白浓度与正常人群无明显差别,但Ⅲ～Ⅳ期压疮患者白蛋白浓度明显低于Ⅰ～Ⅱ期压疮患者和正常人群。红细胞计数、血红蛋白浓度、白蛋白浓度与Braden评分的直线回归方程分别为Y=3.427X＋2.261,Y=0.207X-8.973,Y=0.601X-6.801。人血白蛋白20 g组、人血白蛋白10 g组压疮愈合天数较常规护理组短。结论 Braden评估表的使用,对评估压疮危险因素、预防压疮发生的有重要意义,加强营养是治疗压疮的关键。Objective Discuss the application of nutrition-related indicators in pressure ulcer nursing.Methods Gender, age, red blood cell count, hemoglobin concentration, albumin concentration were collected from objects, and gave a score with the Braden assessment scale. Then we divided stageⅢ～Ⅳ pressure ulcer patients into routine nursing group, human albumin 10g group, human albumin 20g group in random, and record the recover time.ResultsPatients with pressure ulcer were lower than normal people in red blood cell count and hemoglobin concentration, moreover, patients with stageⅢ～Ⅳpressure ulcer were lower than patients with stage Ⅰ ～ Ⅱ pressure ulcer in red blood cell count and hemoglobin concentration. Although patients with stage Ⅰ ～ Ⅱ pressure ulcer had no obvious difference with the normal people in albumin concentration, patients with stage Ⅲ ～ Ⅳ pressure ulcer significantly lower than patients with stage Ⅰ ～ Ⅱ pressure ulcer and normal people in albumin concentration. The linear regression equations of red blood cell count, hemoglobin concentration, albumin concentrations and the Braden score were Y=3.427X＋2.261, Y=0.207X-8.973, Y=0.601X-6.801, respectively. Human albumin 20g group and human albumin 10g group were shorter than routine nursing in the recover time. Conclusion The use of the Braden assessment scale has important meaning to evaluate the risk of pressure ulcer and to prevent it. Strengthen nutrition is the key to treat of pressure ulcer.

关 键 词：压疮 Braden评估表 营养 

分 类 号：R473[医药卫生—护理学]