两种评分系统评估急性脑梗死患者卧床期间压疮发生的研究

Two Scoring Systems to Assess the Occurrence of Pressure Ulcers in Patients with Acute Cerebral Infarction During Bed Rest

目的对比Braden量表、急性生理与慢性健康评分-Ⅱ(APACHE-Ⅱ)评估急性脑梗死患者卧床期间压疮风险的价值。方法选取70例急性脑梗死患者,患者清醒时,采用Braden量表、APACHE-Ⅱ量表评估患者卧床期间压疮发生风险,统计患者的一般资料和压疮发生情况,对比上述两种量表评估急性脑梗死患者压疮发生价值。结果70例急性脑梗死卧床期间发生压疮13例,占比18.57%,未发生压疮57例,占比81.43%;发生组Braden评分低于未发生组,APACHE-Ⅱ评分高于未发生组(P<0.05);绘制ROC曲线图结果显示,Braden量表和APACHE-Ⅱ量表评估急性脑梗死患者卧床期间压疮发生风险的AUC分别为0.814、0.832,评估价值较理想,且APACHE-Ⅱ量表的AUC大于Braden量表。结论相较于Braden量表,在急性脑梗死患者中应用APACHE-Ⅱ评估卧床期间压疮风险的价值更高。

Objective To compare the value of Braden Scale,Acute Physiological and Chronic Health Score-ⅱ(APACHE-Ⅱ)in assessing the risk of pressure sore in patients with acute cerebral infarction during bed rest.Methods 70 patients with acute cerebral infarction were selected.When the patients were awake,Braden scale and APACHE-Ⅱscale were used to evaluate the risk of pressure sores during bed rest,and the general information and the occurrence of pressure sores were analyzed.Compare the above two scales to evaluate the occurrence value of pressure sore in patients with acute cerebral infarction.Results There were 13 cases(18.57%)of 70 cases with acute cerebral infarction in bed and 57 cases(81.43%)without pressure sores.The Braden score of the occurrence group was lower than that of the non-occurrence group,and the APACHE-Ⅱscore was higher than that of the non-occurrence group(P<0.05).The ROC curve graph showed that the AUC of Braden scale and APACHE-Ⅱscale in assessing the risk of pressure sores in patients with acute cerebral infarction during bed rest was 0.814 and 0.832,respectively,which was ideal,and the AUC of APACHE-Ⅱscale was greater than that of Braden scale.Conclusion APACHE-Ⅱhas a higher value than Braden scale in assessing the risk of pressure sore during bed rest in patients with acute cerebral infarction.