重症监护室颅脑损伤患者压力性损伤的危险因素分析

doi:10.3969/j.issn.1671-7171.2024.09.029

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Abstract 【Objective】To explore the risk factors for pressure injuries in patients with traumatic brain injury (TBI) in the intensive care unit (ICU). 【Methods】A retrospective analysis was conducted on the clinical data of 146 TBI patients treated in the ICU of our hospital. Patients were divided into two groups based on whether they developed pressure injuries:the occurrence group and the non-occurrence group. Clinical data were collected through questionnaires and compared between the two groups to analyze the risk factors for pressure injuries. 【Results】Univariate analysis indicated that age, body mass index (BMI), diabetes, use of vasoactive drugs, use of sedatives, Glasgow Coma Scale (GCS) score, and Sequential Organ Failure Assessment (SOFA) score were the influencing factors for pressure injuries (P<0.05). Multivariate analysis showed that age ≥60 years, diabetes, use of vasoactive drugs, use of sedatives, GCS score ≤12, and SOFA score ≥12 were the independent risk factors for pressure injuries (P<0.05). 【Conclusion】Age ≥60 years, diabetes, use of vasoactive drugs, use of sedatives, GCS score ≤12, and SOFA score ≥12 can induce the occurrence of pressure injuries in ICU patients with TBI. Clinicians can develop corresponding preventive measures based on the specific conditions of the patients.

Key words： Craniocerebral Trauma Intensive Care Units Risk Factors

Received: 20 August 2023

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R651

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	LIU Lili
	XU Xinzhou

Cite this article:

LIU Lili,XU Xinzhou. Analysis of Risk Factors for Pressure Injuries in Patients with Traumatic Brain Injury in the Intensive Care Unit[J]. JOURNAL OF CLINICAL RESEARCH, 2024, 41(9): 1385-1387.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2024.09.029 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2024/V41/I9/1385

[1] 北京护理学会手术室专业委员会. 术中获得性压力性损伤预防与护理专家共识[J].中华现代护理杂志,2020,26(28):3853-3861.
[2] 高娟,罗嫚丽,梁美景,等. 重症监护室患者压力性损伤的危险因素及Braden评分和经皮氧分压的预测价值分析[J].现代生物医学进展,2022,22(16):3163-3167.
[3] 陆娴,胡玲红,邵燕,等. 老年重度颅脑损伤患者发生压力性损伤危险因素及其与神经功能预后的相关性[J].中国老年学杂志,2022,42(20):5070-5073.
[4] 王泠,胡爱玲.压力性损伤临床防治国际指南2019[M].3版.北京:人民卫生出版社,2021:30-69.
[5] 程宝珍,林文风,冯志华,等. 格拉斯哥昏迷评分在中重型颅脑损伤患者急救中的应用[J].中国急救复苏与灾害医学杂志,2015(10):967-968.
[6] 曾理,胡祖鹏. SOFA评分的临床意义及其在临床研究中的应用[J].中国临床医学,2001,8(1):84-85.
[7] 贾盈盈,张红燕,马媛媛,等. ICU患者压力性损伤风险预测模型的系统评价[J].中华护理杂志,2021,56(8):1242-1248.
[8] 叶和青,陈荣珠,李惠萍. 心血管手术患者压力性损伤危险因素Meta分析[J].现代预防医学,2021,48(7):1320-1324.
[9] 张利,赵青,李金林. 急诊老年病人压力性损伤的危险因素分析[J].实用老年医学,2022,36(7):741-744.
[10] 张喜维,盛娟娟,王锦纹. 冠脉旁路移植术后ICU转出患者压力性损伤风险评估与影响因素分析[J].中华现代护理杂志,2022,28(26):3591-3594.
[11] 彭娟,张静. 糖尿病微血管并发症的发病机制及药物治疗的研究进展[J].医学临床研究,2022,39(1):104-107.
[12] 付佳,田甜. 糖尿病患者术中皮肤压力性损伤风险列线图预测模型的构建[J].中国医科大学学报,2021,50(11):1014-1019.
[13] 邹燕群. 程序化镇痛镇静联合适度过度通气对重症颅脑损伤患者术后苏醒时间及认知功能的影响[J].医学临床研究,2020,37(1):12-14.
[14] 庄秋枫,肖世极,周秀花,等. 重症监护病房患者院内获得压力性损伤的危险因素分析[J].护理学杂志,2021,36(3):53.
[15] 林飞云,李间开,孙仲文. 急性呼吸衰竭患者发生压力性损伤风险的单因素分析[J].当代护士(上旬刊),2021,28(6):30.