冰袋冰敷法对1期手术室急性压力性损伤的影响  

The effect of ice application on stage 1 acute pressure injury in operation room

作　　者：曾彦超[1] 易凤琼[1] 钟昌艳[1] 刘春兰[1] ZENG Yanchao;YI Fengqiong;ZHONG Changyan;LIU Chunlan(Department of Operation Room,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院手术室,重庆400016

出　　处：《当代护士（上旬刊）》2021年第11期146-148,共3页Modern Nurse

基　　金：国家临床重点专科建设项目(财社[2011]170号);重庆医科大学附属第一医院护理基金(HLJJ2017-25)。

摘　　要：目的观察冰袋冰敷法治疗1期手术室急性压力性损伤的效果。方法将2018年2月—11月在手术室发生的60例1期急性压力性损伤患者作为观察组。将2017年2月—11月在手术室发生的75例1期急性压力性损伤患者作为对照组。两组均在手术结束时检查受压部位皮肤,若发生1期压力性损伤,对照组按1期压力性损伤常规处理,观察组在常规处理的基础上使用冰袋冰敷法,对比两种方法的效果。结果观察组60例压力性损伤患者中分别有44例、51例、57例在术后第一天、第二天、第三天痊愈,与对照组75例压力性损伤患者中分别有35例、46例、59例在术后第一天、第二天、第三天痊愈相比较差异均具有统计学意义(P<0.05);对照组在术后第一天、第二天、第三天分别有15例、14例、9例加重,而观察组在三个时间点均只有1例加重,差异具有统计学意义(P<0.05)。结论冰袋冰敷法治疗1期手术室急性压力性损伤效果明显。Objective To observe the effect of ice dressing on acute pressure injury in operation room of stage 1.Methods 60 patients with stage 1 acute pressure injury who occurred in the operating room from February to November 2018 were used as observation groups.75 patients with stage 1 acute pressure injury occurred in the operating room from February to November 2017 were regarded as the control group.The two groups were examined at the end of the operation for the skin at the compression site.If a phase 1 stress injury occurred,the control group was The first-stage pressure injury was routinely treated,and the observation group immediately used the intermittent ice bag ice method on the basis of conventional treatment to compare the effects of the two methods.Results Among the 60 patients with stress injury in the observation group,44,51,and 57 were cured on the first,second,and third days after surgery,and 75 patients with stress injury in the control group.There were 35 cases,46 cases,and 59 cases on the first day,2nd day,and 3rd day after surgery.The difference was statistically significant(P<0.05).The control group was on the first day after surgery.There were 15 cases,14 cases and 9 cases aggravated on 2 days and 3 days respectively,while only one case was aggravated in the observation group at three time points,the difference was statistically significant(P<0.05).Conclusion The effect of ice dressing on the treatment of acute stress injury in the operation room of stage 1 is obvious.

关 键 词：冰敷 压力性损伤 手术室 

分 类 号：R472.3[医药卫生—护理学]