不同气垫床结合不同翻身间隔时间对重型颅脑损伤压疮高危患者的预防效果  

Preventive Effect of Different air Cushion Beds Combined with Different Turning Time Intervals on Pressure Sore Patients with Severe Craniocerebral Injury

作　　者：杨舒迪 YANG Shu-di(Rescue team of Liaoyang central hospital,Liaoyang,Liaoning 111000)

机构地区：[1]辽阳市中心医院救护队,辽宁辽阳111000

出　　处：《中国伤残医学》2021年第18期2-4,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析不同气垫床结合不同翻身间隔时间预防重型颅脑损伤压疮高危患者压疮发生的效果。方法:将本院2017年-2019年收治的120例重型颅脑损伤压疮高危患者采用随机数字表法分为4组,各30例。A组和B组采用喷气式气垫床,翻身间隔时间分别为2小时和4小时;C组和D组采用动态交替式气垫床,翻身间隔时间分别为2小时和4小时。比较4组患者压疮前期表现发生情况和Braden量表评分。结果:4组患者在观察期间均无1例压疮发生。4组患者观察24小时、48小时和72小时时压疮前期表现发生率比较有明显差异(P<0.05)。D组患者观察24小时.48小时和72小时时压疮前期表现发生率明显低于B组,C组72小时时的压疮前期表现发生率明显低于B组(P<0.05)。B组观察期间Barden评分较干预前明显降低(P<0.05)。D组患者观察期间Barden评分较干预前明显升高,且在观察期间呈明显增加趋势(P<0.05)。D组患者观察24小时、48小时和72小时时的Barden评分均明显高于A组和B组,观察48小时和72小时时的Barden评分均明显高于C组(P<0.05)。结论:2种气垫床均能有效预防重型颅脑损伤压疮高危患者发生压疮,但动态交替式气垫床效果更佳,可将翻身间隔时间延长至4小时。Objective:To analyze the effect of different air cushion beds combined with different turning time on the prevention of pres-sure ulcer in high-risk patients with severe craniocerebral injury.Methods:120 high-risk patients with pressure ulcer of severe cranio-cerebral injury admitted to our hospital from 2017 to 2019 were randomly divided into 4 groups,30 cases in each group.Group A and group B used air jet air cushion bed with turning over interval of2 h and 4 h respectively;group C and group D adopted dynamic alterna-ting air cushion bed with turning over interval of2 h and 4 h respectively.The occurrence of pre pressure ulcers and Braden Scale scores were compared among the four groups.Results:There was no pressure ulcer in the four groups during the observation period.There were significant differences in the incidence of pressure ulcer in the four groups at 24 h,48 h and72h(P<0.05).The incidence of pressure ulcer in group D was significantly lower than that in group B at24 h,48 h and 72 h,and that in group C at 72 h was significantly lower than that in groupB(P<0.05).The Barden score of group B was significantly lower than that before intervention(P<0.05).During the observation period,the Barden score of group D was significantly higher than that before intervention,and showed a significant in-creasing trend during the observation period(P<0.05).The Barden scores at 24 h,48 h and 72 h in group D were significantly higher than those in group A and group B,and those at 48 h and 72 h in group D were significantly higher than those in groupC(P<0.05).Conclusion:the two kinds of air cushion beds can effectively prevent pressure ulcers in high-risk patients with severe craniocerebral in-jury,but the dynamic alternating air cushion bed has better effect,which can extend the turn over interval to 4 hours.

关 键 词：重型颅脑损伤 压疮 气垫床 翻身 Braden量表评分 

分 类 号：R651.1[医药卫生—外科学]