儿童术中发生医疗器械相关性压力性损伤特征及影响因素分析  

Characteristics and influencing factors of medical device-related pressure ulcer during operation in children

作　　者：姚莎 唐绪容[1] 周蓉[1] 付绍川 YAO Sha;TANG Xurong;ZHOU Rong;FU Shaochuan(Children's Hospital of Chongqing Medical University, Chongqing, 400014)

机构地区：[1]重庆医科大学附属儿童医院,儿童发育疾病研究教育部重点实验室,国家儿童健康与疾病临床医学研究中心,儿童发育重大疾病国家国际科技合作基地,儿科学重庆市重点实验室,重庆400014

出　　处：《中西医结合护理（中英文）》2020年第7期124-126,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨儿童术中发生医疗器械相关性压力性损伤(MDRPU)的影响因素。方法回顾性分析9例术中发生MDRPU患儿的临床资料,分析引起儿童术中MDRPU的相关因素。结果9例术中发生MDRPU的患儿中有5(55.56%)例是因血氧饱和度探头损伤引起的;损伤部位多为手指/足趾,共6(66.67%)例;9例术中发生MDRPU的患儿的手术时长均>6 h;≤3岁的婴幼儿易发生MDRPU,共6(66.67%)例。结论巡回护士充分重视发生MDRPU风险因素,做好压疮风险因素评估,采取相应的术前术中预防措施,降低术中MDRPU发生率,提高护理质量。Objective To explore the influencing factors of medical device-related pressure ulcer(MDRPU)in children undergoing operation.Methods Retrospectively analyzed the clinical data of 9 pediatric patients with MDRPU during surgery,and investigated potential factors of MDRPU.Results The incidence of MDRPU was 28.13%in 32 intraoperative pressure injuries,and the most common cause of MDRPU was oxygenation probe-induced injury in 5 cases(55.56%).The most common site was finger/toe in 6 cases(66.67%).The length of operation exceeded 6 hours in all 9 cases.The incidence rate was highest in infants 3 years old or less,accounting for 66.67%.Conclusion Circulating nurses should pay more attention to MDRPU,evaluate the risk factors and take corresponding preventive measures before and during operation.

关 键 词：医疗器械相关性压力性损伤 儿童 手术 血氧饱和度 皮肤护理 营养障碍 

分 类 号：R473.72[医药卫生—护理学]