超声在1期压力性损伤分期评估中的应用研究

Application of ultrasonography in evaluation of early pressure injury

目的探讨超声在1期压力性损伤(pressure injury,PI)分期评估中的应用价值。方法选择2019年1月至2021年5月入住大连市中心医院重症医学科重症加强护理病房的78例PI患者作为研究对象,采用随机数字表法将患者分为对照组和观察组,每组各39例。对照组采用美国国家压力性损伤咨询委员会/欧洲压疮咨询委员会(National pressure injury advisory panel/European pressure ulcer advisory panel,NPIAP/EPUAP)分类标准对PI进行分期并给予集束化护理,观察组采用彩色多普勒超声仪(高频探头)联合NPIAP/EPUAP分类标准对PI进行分期并给予集束化护理,观察两组患者的PI情况、翻身频率、超声征象改变情况。结果两组患者在PI进展方面均较入组时减缓,但差异无统计学意义(P>0.05);观察组翻身频率高于对照组,差异有统计学意义(P<0.05)。对两组患者的PI部位进行超声检测,结果显示,观察组超声征象改变明显优于对照组,差异有统计学意义(P<0.05)。结论超声对1期PI分期评估更为精准,可为PI实施早期个性化干预提供有利依据。

Objective To explore the application value of ultrasound in early stage assessment of pressure injury Methods A total of 78 patients admitted to intensive came unit(ICU)of Dalian Central Hospital from January 2019 to May 2021 were selected by convenience sampling method as the study subjects.The patients were divided into control group and observation group according to random number table method,with 39 patients in each group.In the control group,NPIAP/EPUAP pressure injury classification system was used to classify pressure injury and give cluster nursing.In the observation group,color Doppler ultrasound(high-frequency probe)combined with NPIAP/EPUAP pressure injury classification system was used to stage pressure injury and give cluster nursing,and the progress of pressure injury in the two groups was observed.Results NPIAP/EPUAP pressure injury classification system was used to evaluate the pressure injury of patients in both groups,and it was found that the progression of pressure injury in both groups was better than that at the time of enrollment,but the difference was not statistically significant(P>0.05).The times of turning over in the two groups,the frequency of the observation group was higher than the control group,with statistical significance(P<0.05).Ultrasonic detection was performed on the skin pressure injury sites of patients in the two groups,and the results showed the changes of ultrasonic signs were higher than the control group,with statistical significance(P<0.05).Conclusion Ultrasound is more accurate in the stage assessment of early pressure injury,providing objective basis for the early implementation of target-oriented intervention in pressure injury.