脊髓损伤后压疮患者序贯器官功能衰竭评分、Braden量表评分及营养指标评估分析  

Evaluation of sequential organ failure assessment score, Braden Scale score, and nutritional indicators in patients with pressure ulcer after spinal cord injury

作　　者：连珏雯 戴敏[1] Lian Juewen;Dai Min(Department of Orthopedics,the First People's Hospital of Huzhou,Huzhou 313000,Zhejiang Province,China)

机构地区：[1]湖州市第一人民医院骨科,湖州313000

出　　处：《中国基层医药》2022年第5期736-740,共5页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨并分析脊髓损伤后压疮患者序贯器官功能衰竭评分(SOFA)、Braden量表评分及营养指标的影响。方法选择2019年1月至2020年2月湖州市第一人民医院收治的脊髓损伤后压疮患者80例,其中Ⅰ期22例,Ⅱ期33例,Ⅲ期25例;并选择同期该院收治的脊髓损伤未出现压疮患者140例为对照组,比较两组受试者SOFA评分、Braden量表评分和营养指标水平情况,分析SOFA评分、Braden量表评分和营养指标的相关性。结果两组患者在性别、年龄、高血压、糖尿病、手术情况、ASIA损伤分级之间差异均无统计学意义(均P>0.05),在体质量指数(BMI)[(24.25±1.44)kg/m^(2)比(27.68±2.21)kg/m^(2)]、血管活性药物使用率(29.29%比43.75%)、住院时间[(10.71±2.62)d比(16.39±3.05)d],差异均有统计学意义(t=12.44,χ^(2)=4.71、t=14.56,均P<0.05);观察组SOFA评分[(9.72±1.18)分]高于对照组[(4.51±0.30)分],Braden量表评分[(10.64±1.05)分]明显低于对照组[(13.49±2.28)分],差异均有统计学意义(t=49.58、10.55,均P<0.001);观察组患者血红蛋白(Hb)[(81.03±8.48)g/L]、血清前白蛋白(PAB)[(145.29±14.72)mg/L]、血清白蛋白(PA)[(20.24±2.05)g/L]均明显低于对照组[(107.25±10.14)g/L、(170.86±23.75)mg/L、(32.38±4.07)g/L],差异均有统计学意义(t=19.54、8.71、24.91,均P<0.001);经Spearman相关分析结果显示,SOFA评分与Hb、PAB、PA均呈正相关(r=0.50、0.64、0.71,均P<0.05),与Braden量表评分均呈负相关(r=-0.51、-0.62、-0.75,均P<0.05)。结论脊髓损伤患者发生压疮是由多因素共同作用产生的,通过对SOFA评分、Braden量表评分及Hb、PAB、PA的联合检测,能更好地评估脊髓损伤后压疮的发生情况。Objective To investigate the effects of sequential organ failure assessment(SOFA)score,Braden Scale score,and nutritional indicators in patients with pressure ulcer after spinal cord injury.Methods Eighty spinal cord injury patients with pressure ulcer who received treatment in the First People's Hospital of Huzhou,China between January 2019 and February 2020 were included in the patient group.Among these patients,22 had stage I pressure ulcer,33 had stage II pressure ulcer,and 25 had stage III pressure ulcer.An additional 140 patients with spinal cord injury but without pressure ulcer who concurrently received treatment in the same hospital were included in the control group.SOFA score,Braden Scale score and nutritional indicators were compared between the two groups.The correlation between SOFA score,Braden scale score and nutritional indicators was analyzed.Results There were no significant differences in gender,age,hypertension,diabetes,operation condition and American Spinal Injury Association Impairment Scale score between the two groups(all P>0.05).There were significant differences in body mass index[(24.25+1.44)kg/m^(2) vs.(27.68+2.21)kg/m^(2),t=12.44,P<0.05],use of vasoactive drugs(29.29%vs.43.75%,χ^(2)=4.71,P<0.05),length of hospital stay[(10.71+2.62)days vs.(16.39+3.05)days,t=14.56,P<0.05].SOFA score in the observation group was significantly higher than that in the control group[(9.72±1.18)points vs.(4.51±0.30)points,t=49.58,P<0.001].Braden scale score in the observation group was significantly lower than that in the control group[(10.64±1.05)points vs.(13.49±2.28)points,t=10.55,P<0.001].Serum level of hemoglobin,prealbumin,and albumin in the observation group was(81.03±8.48)g/L,(145.29±14.72)mg/L,(20.24±2.05)g/L,respectively,which were significantly lower than those in the control group[(107.25±10.14)g/L,(170.86±23.75)mg/L,(32.38±4.07)g/L,t=19.54,8.71,24.91,all P<0.001].Spearman correlation analysis showed that SOFA score was positively correlated with serum level of hemoglobin,prealbumin

关 键 词：脊髓损伤 压力性溃疡 多器官功能衰竭个性量表 营养评价 

分 类 号：R651.2[医药卫生—外科学]