两种评估表对脊柱后路手术患者压疮预测效果的比较研究

Comparison of the suitability of two scales in pressure ulcer risk assessment among patients undergone posterior spinal surgery

目的:研究脊柱外科脊柱后路手术患者的压疮发生率,比较Braden和Norton两种评估表对脊柱后路手术患者压疮的预测效果。方法:选取脊柱外科后路手术患者100例,运用两种评估表对其进行测评,在术后的0h、24h和72h分别观察和记录压疮的发生情况,计算各个量表的灵敏度和特异度。结果:压疮发生率为7%,该研究中的患者Braden评估表具有良好的灵敏度和特异性。结论:脊柱后路手术患者压疮的发生率较高,应用Braden评估表可以较好地预测压疮的发生。

Objective： To assess the risk of the pressure ulcer incidence among patients undergone posterior spinal surgery and compare the suitability of Norton and Braden scales, Methods： 100 patients were selected and assessed using the two scales before surgery, and observed immediately after the surgery and at 24 hours and 72 hours post surgery. The sensitivity and specificity of the two scales were also measured in the study.Results： The pressure ulcer incidence rate was 7%. In this study Braden scale was considered more sensitive and specific in assessing the risk of pressure ulcer. Conclusions： Braden scale may be a better scale in assessing risk assessment of the pressure ulcer among patients undergone posterior spinal surgery.