Braden压疮风险评估量表联合GCS对重型颅脑损伤患者压疮发生的预测价值分析

Predictive Value of Braden Scale Combined with GCS for Assessing Pressure Ulcer Risk in Patients with Severe Craniocerebral Injury

目的探讨Braden压疮风险评估量表联合格拉斯哥昏迷量表(GCS)预测重型颅脑损伤患者压疮发生的临床价值。方法选取2018年6月至2020年12月平顶山河舞总医院收治的94例重型颅脑损伤患者作为研究对象,收集患者性别、入院后首次Braden评分与GCS评分以及是否发生压疮等资料,并根据患者是否发生压疮将其分为压疮组和非压疮组,分析Braden压疮风险评估量表及GCS对压疮发生的预测价值。结果94例重型颅脑损伤患者中40例(42.55%)患者发生压疮,设为压疮组;54例(57.45%)患者未发生压疮,设为非压疮组。压疮组患者Braden评分及GCS评分均明显低于非压疮组(t=5.905、3.003,P<0.001、P=0.003);Spearman相关性分析结果显示,Braden评分及GCS评分与压疮的发生呈显著负相关性(r=-0.543、-0.482,P均<0.001);ROC曲线分析结果显示,Braden评分与GCS评分联合评估预测压疮发生的曲线下面积(AUC)为0.847,灵敏度为95.00%,特异度为77.41%。结论Braden压疮风险评估量表联合GCS对重型颅脑损伤患者的压疮发生风险具有较高的预测价值。

Objective To study the clinical value of Braden Scale combined with Glasgow coma scale(GCS)for predicting pressure ulcer risk in patients with severe craniocerebral injury.Methods 94 patients with severe craniocerebral injury,admitted into Hewu General Hospital between June 2018 and December 2020,were enrolled as research subjects,and the data,including sex,first-time Braden scores and GCS scores after admission,and occurrence of pressure ulcer,etc.,were collected.Based on whether pressure ulcer occurred,the subjects were divided into ulcer group and non-ulcer group to analyze the predictive value of Braden Scale and GCS for assessing the occurrence of pressure ulcer.Results Among the 94 patients with severe craniocerebral injury,40 patients(42.55%)developed pressure ulcer,setting as ulcer group,and the other 54 patients(57.45%)without suffering pressure ulcer were set as non-ulcer group.The Braden score and GCS score of patients in ulcer group were obviously lower compared with non-ulcer group(t=5.905 and 3.003,P<0.001,P=0.003).Spearman’s correlation analysis showed that the occurrence of pressure ulcer had significant negative correlation with Braden score and GCS score(r=-0.543 and-0.482,both P<0.001).ROC curve analysis showed that the area under the curve(AUC)assessed jointly by Braden score and GCS score for pressure ulcer occurrence was 0.847,with the sensitivity being 95.00%and the specificity being 77.41%.Conclusion The Braden scale and GCS have a high value of predicting pressure ulcer risk in patients with severe craniocerebral injury.