胃肠道手术患者术中压力性损伤的影响因素及预防措施

Influencing factors and preventive measures of intraoperative pressure injury in patients undergoing gastrointestinal surgery

目的:探讨胃肠道手术患者术中压力性损伤的影响因素及预防措施。方法:某院182例患者行胃肠道手术,分为压力性损伤组(22例)和非压力性损伤(160例)。分析患者发生术中压力性损伤的影响因素。结果:多因素logistic回归分析表明手术时间>1 h、存在术中体位移动、存在局部潮湿、受压皮肤状况异常为胃肠道手术患者发生术中压力性损伤的影响因素(P<0.05)。ROC分析显示:因素均有一定的对术中发生压力性损伤的预测评估价值。结论:手术时间过长、术中体位移动、局部潮湿、受压皮肤状况异常是发生术中压力性损伤的影响因素,应制定相应预防措施。

Objective:To investigate the influencing factors and preventive measures of intraoperative pressure injury in gastrointestinal surgery patients.Methods:182 patients undergoing gastrointestinal surgery in a hospital were divided into pressure injury group(22 cases)and non-stress injury group(160 cases).Analyze the influencing factors of intraoperative pressure injury in patients..Results:Multivariate logistic regression analysis showed that operation time>1 h,intraoperative postural movement,local moisture,and abnormal compressed skin conditions were the influencing factors of intraoperative pressure injury in patients undergoing gastrointestinal surgery(P<0.05).ROC analysis shows that:factors have a certain value in predicting and evaluating the occurrence of pressure injury during operation.Conclusion:Excessive operation time,intraoperative postural movement,local moisture,and abnormal compressed skin conditions are the influencing factors of intraoperative pressure injury.Corresponding preventive measures should be formulated.