红外热像仪联合Braden评估表在预防严重烧伤患者1期压力性损伤中的应用研究  

Study of infrared thermal imaging combined with Braden evaluation form in preventing stage 1 pressure injury in severe burned patients

作　　者：沈晓娴 周增丁[1] 刘健明 叶震遐 李学川[1] 章盖 宋晨璐 杨惠忠[1] SHEN Xiaoxian;ZHOU Zengding;LIU Jianming;YE Zhenxia;LI Xuechuan;ZHANG Gai;SONG Chenlu;YANG Huizhong(Department of Burn and Plastic Surgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院灼伤整形科,上海市200025

出　　处：《组织工程与重建外科》2024年第3期322-325,共4页Journal of Tissue Engineering and Reconstructive Surgery

基　　金：上海市“科技创新行动计划”自然科学基金项目(21ZR1440600,19ZR1432100)。

摘　　要：目的采用红外热像仪联合Braden压力性损伤风险评估表,评估烧伤患者翻身床治疗中可能出现的1期压力性损伤风险,明确红外热像仪在预防严重烧伤患者1期压力性损伤中的作用和优势。方法采用回顾性队列研究方法,收集2023年1~12月收治的严重烧伤患者34例,均采用翻身床定期翻身治疗,并将患者分为Braden评估组(单纯应用Braden评估表,n=17)和联合评估组(红外热像仪联合Braden评估表,n=17)。收集患者入院时的一般临床资料;并在患者入院接受翻身床治疗1个月后的1周内,每天根据臀部压力性损伤评估,调整翻身次数和臀部护理按摩时间,记录两组患者1周内翻身总次数和臀部按摩总时间,并对数据进行统计分析。结果联合评估组在减少翻身次数、缩短臀部护理按摩时间上均明显优于Braden评估组(P<0.05)。两组均发生臀部褥疮1例(1/17),发生压力性损伤的概率无统计学差异(P>0.05)。结论采用红外热像仪联合Braden评估表对翻身床烧伤患者臀部受压部位进行监测,相较单纯采用Braden评估表,能够更加准确、及时发现潜在1期压力性损伤,还可以明显减少患者翻身治疗次数及臀部按摩时间,减轻护理负担,具有一定的临床应用价值。Objective Using the infrared thermal imaging system combined with the Braden pressure injury risk assessment form to identify the potential risk of first-stage pressure injury in burn patients undergoing bed turning treatment,and to clarify the role and advantages of infrared thermal imaging in preventing first-stage pressure injury in severe burn patients.Methods A retrospective cohort study was conducted.A total of 34 patients with severe burn treated from January 2023 to December 2023 were collected,including 26 males and 8 females,aged 20 to 60 years old,all of whom were treated by turning over bed regularly,and the patients were divided into Braden assessment group(Braden assessment form only,n=17)and the combined assessment group(infrared thermography and Braden assessment form,n=17).General clinical data were collected at the time of admission.In addition,within 1 week after the patient was admitted to the hospital for 1 month,the number of flipping times and the time of hip massage were adjusted every day according to the assessment of hip pressure injury.The total number of flipping times and the total time of hip massage in 1 week were recorded in the two groups,and the data were statistically analyzed.Results Compared with Braden assessment group,the combined assessment group had significant statistical significance in reducing the number of flipping times and shortening the time of hip massage(P<0.05).There was 1 case(1/17)of decubitus buttocks in both groups,and there was no statistical difference in the probability of pressure injury(P>0.05).Conclusion Compared to using the Braden assessment form alone,the infrared thermal imaging combined with the Braden assessment form to monitor the compressed area of the buttocks in sever burn patients treated with flipping beds,can more accurately and timely detect the potential occurrence of stage 1 pressure injury;In addition,it can significantly reduce the number of flipping times and the time of hip massage,alleviate the workload of nursing staff,and has ce

关 键 词：严重烧伤 红外热像仪 压力性损伤 Braden压力性损伤风险评估表 预防 

分 类 号：R644[医药卫生—外科学]