2093例高龄骨折手术患者压力性损伤发生情况及影响因素分析  

Analysis on occurrence situation and influencing factors of pressure injury in 2093 advanced age patients with fracture surgery

作　　者：郭杨 孙晓洁 邰苗 高巧戈 刘芳[1] 李晓伟[1] 姚洁[1] GUO Yang;SUN Xiaojie;TAI Miao;GAO Qiaoge;LIU Fang;LI Xiaowei;YAO Jie(Shaanxi University of Chinese Medicine,Xianyang,Shaanxi 712046,China;Department of Bone Diseases,Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang,Shaanxi 712000,China)

机构地区：[1]陕西中医药大学,陕西咸阳712046 [2]陕西中医药大学附属医院骨病科,陕西咸阳712000

出　　处：《重庆医学》2021年第11期1883-1887,共5页Chongqing medicine

基　　金：陕西中医药大学学科创新团队建设项目(2019-YL03)。

摘　　要：目的了解高龄骨折手术患者压力性损伤发生情况并分析影响因素,为临床防治该类患者提供依据。方法选取2015年10月至2019年10月陕西中医药大学附属医院发生压力性损伤的98例高龄骨折手术患者为病例组,选取同期住院的98例未发生压力性损伤患者为对照组,对两组进行单因素及多因素logistic回归分析探讨影响因素。结果2093例高龄骨折手术患者中98例发生压力性损伤,发生率为4.68%。发生率最高的部位为骶尾部(占50.50%),分期以1期为主(占58.42%)。卧床时间大于5 d、皮肤温度升高、切口感染、留置导管、糖尿病、发热是高龄骨折手术患者压力性损伤的独立危险因素,而营养支持、每天翻身大于或等于3次及使用预防性敷料是保护因素(P<0.05)。结论应采取针对性预防措施降低高龄骨折手术患者压力性损伤的发生。Objective To understand the occurrence situation of stress injury in elderly patients with fracture surgery and analyze the influencing factors so as to provide the evidence for clinical prevention and treatment of such patients.Methods Ninety-eighty elderly patients with fractures suffering from pressure injury in this hospital from October 2015 to October 2019 were selected as the case group,and 98 patients without pressure injury hospitalized during the same period were selected as the control group.The univariate analysis and multi-factor logistic regression analysis on the two groups were performed to explore the influencing factors.Results Among 2093 advanced age patients with fracture surgery,pressure injury occurred in 98 cases,the incidence rate was 4.68%;the site with highest incidence rate was the sacrococcygeal region(50.50%),and the stage was dominated by the stage 1(58.42%).The bed rest time>5 d,skin temperature increase,incision infection,indwelling catheters,diabetes and fever were the risk factors for stress injury occurrence in advanced age patients with fracture surgery,while the nutritional support,turning over for≥3 times a day and using preventive dressings were the protective factors(P<0.05).Conclusion The targeted preventive measures should be taken to reduce the occurrence of pressure injury in advanced age patients with fracture surgery.

关 键 词：高龄 骨折 压力性损伤 危险因素 

分 类 号：R473.6[医药卫生—护理学]