脑出血急性期患者住院期间压力性损伤发生的危险因素分析  

Risk Factors for Pressure Sores in Inpatients with Acute Cerebral Hemorrhage

作　　者：郭军平[1,2,3] 刘改芬 鞠奕 赵性泉[1,3,4] GUO Jun-Ping;LIU Gai-Fen;JU Yi;ZHAO Xing-Quan(Vascular Neurology,Department of Neurology,Beijing Tian Tan Hospital,Capital Medical University,Beijing 100070,China;China National Clinical Research Center for Neurological Diseases,Beijing 100070,China;Center of Stroke,Beijing Institute for Brain Disorders,Beijing 100070,China;Department of Neurology,Beijing Tian Tan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院神经病学中心血管神经病学科,北京100070 [2]国家神经系统疾病临床医学研究中心 [3]北京脑重大疾病研究院脑卒中研究所 [4]首都医科大学附属北京天坛医院神经病学中心

出　　处：《中国卒中杂志》2019年第10期1015-1018,共4页Chinese Journal of Stroke

基　　金：北京市医院管理局“登峰”人才培养计划(DFL20150501)

摘　　要：目的分析脑出血急性期患者住院期间压力性损伤的危险因素。方法本研究数据来自中国国家卒中登记(China National Stroke Registry,CNSR)研究中发病14 d内就诊的脑出血急性期患者。收集患者的基线数据。根据患者在住院期间是否出现过压力性损伤分为两组,采用多因素回归模型分析与压力性损伤相关的危险因素。结果研究共纳入3255例脑出血急性期患者,其中31例(0.95%)住院期间患有压力性损伤。多因素分析显示,入院时mRS(3~5分)(OR 4.41,95%CI 1.60~12.17)和入院时血红蛋白(每降低10个单位)(OR 1.36,95%CI 1.17~1.66)是脑出血急性期患者压力性损伤的独立危险因素。结论入院时mRS(3~5分)和入院时血红蛋白(每降低10个单位)是脑出血急性期患者住院期间压力性损伤的危险因素。Objective To investigate the risk factors for pressure sores in patients with acute cerebral hemorrhage during hospital stay.Methods The data were from China National Stroke Registry(CNSR)study.Patients with acute cerebral hemorrhage within 14 days after symptoms onset were included in this analysis.The baseline data were collected.Patients were divided into two groups according to whether patients occurred pressure sore or not during hospitalization.Multivariate Logistic regression model was used to identify the related risk factors for pressure sore in patients with acute cerebral hemorrhage.Results Finally,3255 patients were included in this analysis,of whom 31(0.95%)had pressure sores during hospitalization.Multivariate analysis showed that mRS(3-5 points)(OR 4.41,95%CI 1.60-12.17)and hemoglobin level on admission(10 units per reduction,OR 1.36,95%CI 1.17-1.66)were independent risk factors for pressure sores in patients with acute cerebral hemorrhage.Conclusions The mRS(3-5 points)and hemoglobin level on admission(10 units per reduction)were risk factors for pressure sores in inpatients with acute cerebral hemorrhage.

关 键 词：危险因素 压力性损伤 脑出血急性期 

分 类 号：R74[医药卫生—神经病学与精神病学]