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重症患儿发生压力性损伤风险的高危因素分析

  

  1. 郑州大学附属儿童医院 外科监护室,河南  郑州 450000
  • 出版日期:2020-05-20 发布日期:2020-04-27
  • 通讯作者: 王欢欢,Email:2669649869@qq.com

Analysis of highrisk factors of pressure injury in severely ill children

  1. SICU, Children's Hospital affiliated to Zhengzhou University, Zhengzhou  450000,  China
  • Online:2020-05-20 Published:2020-04-27
  • Contact: Corresponding author:Wang Huanhuan,Email:2669649869@qq.com

摘要: 目的  探讨重症患儿发生压力性损伤(PI)风险的高危因素。方法  151例患儿根据有无发生PI将重症患儿分为PI组和非PI组。分析重症患儿PI发生情况,进行重症患儿PI发生的危险因素分析。结果  151例患儿共25例发生PI,PI发生率为16.57%。PI分期:Ⅰ期20例,Ⅱ期4例,Ⅲ期1例。25例患者发生PI共29处,头面部18处(62.07%)。患儿呼吸方式、PICS评分、医疗器械使用以及Braden Q评分是影响重症患儿PI发生的独立危险因素(P<0.05)。结论  重症患儿是PI发生的高危人群,损伤多发生在头面部且以I期为主,PCIS评分、呼吸方式、医疗器械使用以及Braden Q评分是重症患儿PI发生的高危因素。

关键词: 软组织损伤, 重症监护病房,  , 儿科 , 患儿

Abstract: Objective  To explore the  highrisk factors of pressure injury(PI) in severely ill children. Methods  151 children were divided into PI group and non PI group  according to the presence or absence of PI. The occurrence of PI in severely ill children was analyzed, and  the  risk factors of PI in severely ill children  were analyzed. Results  A total of  25 cases occurred in  151 children, and the incidence rate  of PI was 16.57%. PI staging included: 20 cases  in stage  Ⅰ, 4 cases  in stage Ⅱ, and 1 case  in stage Ⅲ. There were 29 PI sites in 25 patients  and 18 in the head and face(62.07%). Respiratory mode, PICS score, medical device use and Braden Q score were the independent risk factors of  the occurrence of PI in severely ill children(P<0.05). Conclusion  Children with  severe  diseases are at high  risk of PI, and most of the injuries  are in the head and face,mainly in phase I. PCIS score, respiratory mode, medical device use and Braden Q score are highrisk factors of PI in severely ill children.

Key words: soft tissue injuries, intensive care units, , pediatric;children