风险评估跟踪管理联合超声早期干预在婴幼儿围手术期压力性损伤中的应用效果

Effect of risk assessment and follow-up management combined with early ultrasound intervention on reducing perioperative pressure ulcer in infants

目的探讨风险评估跟踪管理联合超声早期干预围手术期婴幼儿压力性损伤的应用效果。方法选取2019年6月—2020年6月郑州大学附属儿童医院收治的469例围手术期婴幼儿作为研究对象,根据随机数字表法分为观察组(n=243)和对照组(n=226)。对照组患儿采取常规防压力性损伤护理,观察组患儿在对照组基础上采用风险评估跟踪管理联合超声检查,比较两组患儿术后3 d和术后7 d压力性损伤发生率情况。结果观察组婴幼儿术后3 d和术后7 d的压力性损伤发生率均低于对照组,差异均有统计学意义(P<0.05);且观察组压力性损伤严重程度低于对照组。结论风险评估跟踪管理联合超声早期干预能够显著降低围手术期婴幼儿压力性损伤发生的风险,值得进行推广应用。

Objective To explore the effect of risk assessment and follow-up management combined with early ultrasound intervention on reducing perioperative pressure ulcer in infants.Methods A total of 469 perioperative infants and young children admitted to Children's Hospital Affiliated to Zhengzhou University from June 2019 to June 2020 were selected as the research subjects.They were divided into observation group(n=243)and control group(n=226)by random number table.Children in the control group were treated with routine care for preventing pressure ulcers.Children in the observation group were treated with risk assessment and follow-up management combined with ultrasound on the basis of the control group.The incidence of pressure ulcers was compared between the two groups at 3 and 7 days after surgery.Results The incidence of pressure ulcers in the observation group was significantly lower than that of the control group at 3 days and 7 days after operation,and the difference was statistically significant(P<0.05).It could be seen that the severity of pressure injury in the observation group was lower than that in the control group.Conclusions Risk assessment and follow-up management combined with ultrasound in early intervention can significantly reduce the risk of pressure ulcers in infants and young children during the perioperative period,which is worthy of promotion and application.