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机构地区:[1]四川省肿瘤医院手术室,成都610041 [2]四川省肿瘤医院麻醉科,成都610041
出 处:《中华现代护理杂志》2017年第15期1978-1982,共5页Chinese Journal of Modern Nursing
基 金:四川省卫计委科研课题(16PJ519)
摘 要:目的 分析肿瘤手术患者术中压疮发生特点和危险因素,为临床采取有针对性的预防措施提供参考.方法 回顾分析四川省肿瘤医院2015年1—12月肿瘤手术患者6878例的住院病历和压疮发生登记表,分析术中压疮发生特点和可能影响肿瘤患者术中压疮形成的危险因素.结果 共68例患者术中发生压疮,发生率0.99%,其中65例为Ⅰ期压疮,3例为Ⅱ期压疮.不同年龄、手术时间、术中失血量、体质指数、手术体位患者术中压疮发生率差异有统计学意义(χ2值分别为18.970、1035.231、267.460、10.022、12.073;P<0.05);Logistic多因素回归分析显示,年龄、手术时间及术中失血量是术中压疮发生的危险因素.结论 肿瘤手术患者术中压疮是多种因素影响的结果,要充分认识压疮发生特点和危险因素,才能更好地预防术中压疮的发生.Objective To analyze the features and risk factors of intraoperative pressure sores among patients receiving tumor surgery, and to provide a reference for targeted clinical precautions to be taken. Methods The admission notes and pressure sore registration forms of 6878 patients who received tumor surgery between January and December 2015 in Sichuan Cancer Hospital were referenced. The features and risk factors of intraoperative pressure sores were then retrospectively analyzed.Results Totally 68 patients were found with pressure sores. The incidence of intraoperative pressure sores among the group of patients were 0.99%, including 65 stage I pressure sores and 3 stage II pressure sores. The risk factors contributing to intraoperative pressure sores included age, length of operation, blood loss, body mass index and operative position (χ2=18.970, 1035.231, 267.460, 10.022, 12.073;P〈0.05); According to Logistic Multivariate Regression Analysis, age, length of operation and blood loss were independent risk factors contributing to intraoperative pressure sores.Conclusions Intraoperative pressure sores among patients receiving tumor surgery are caused by multiple factors. Only by fully knowing their features and risk factors can we prevent intraoperative pressure sores.
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