颅脑手术中急性压疮发生因素的分析和护理

目的探讨颅脑手术中急性压疮的发生因素和护理措施。方法采用watedow＇s压疮危险评分法和观察分析法，对212例颅脑手术患者进行压疮危险评分和相关因素分析。结果压疮评分在10～1549例，15～20分100例，20分以上63例。发现急性压疮主要与下列因素有关：压力占60％；麻醉影响和体温的改变各占10％；手术床单皱褶不平占20％。结论做好体位护理和皮肤局部护理对预防颅脑手术患者压疮的发生具有重要的意义。

Objective To investigate the factors related with acute bed sores in patients during craniocerebral operations and to explore nursing countermeasures. Methods Waterlow bed sore risk grading method and observation analyzing were used to evaluate the related factors and the score of bed sores in 212 patients who accepted craniocerebral operations. Results 49 patients scored 10 to 15 points, 100 patients scored 15 to 20, and 63 patients scored over 20. Acute bed sore is related with pressure （60%）, anaesthesia （ 10% ）, temperature （ 10% ） and sheet condition （20%）. Conclusion Appropriate posture nursing and local skin nursing can prevent the acute bed sore effectively.