摘要
目的:探讨基于儿童压疮危险评估(Braden-Q)量表行经皮氧分压(TcPO2)监测评估新生儿头枕部压疮发生的价值,为新生儿救护中心(NICU)早期预警压疮提供依据。方法:选择2018年10月-2019年4月笔者所在医院新生儿救护中心(NICU)收治的60例新生儿为研究对象,在入院时均应用Braden-Q量表评估压疮危险评分,同时经皮氧分压(TcPO2)监测患儿头枕部皮肤组织的氧合状况。根据在NICU期间是否发生压疮将其分为压疮组(22例)和非压疮组(38例)。比较两组Braden-Q量表评分、TcPO2,采用受试者工作特征(ROC)曲线,评价TcPO2监测对新生儿头枕部压疮的早期预测效果。结果:压疮组Braden-Q量表评分为(16.25±2.22)分,低于非压疮组的(22.88±4.92)分,差异有统计学意义(t=6.751,P=0.013)。压疮组低、中、高危构成比例分别为13.64%、45.45%、40.91%,非压疮组分别为50.00%、42.11%、7.89%,两组低危、高危构成比例比较差异有统计学意义(P<0.05)。压疮组与非压疮组新生儿入住NICU第3、5、7天TcPO2均低于第1天,且呈逐渐下降趋势,差异有统计学意义(P<0.05);压疮组第1、3、5、7天TcPO2低于非压疮组,差异均有统计学意义(P<0.05)。新生儿TcPO2的最佳截断值为87.03 mm Hg,ROC曲线下面积(AUC值)为0.728,敏感性为90.91%,特异性为60.53%,95%CI(0.768,0.927)。结论:基于Braden-Q量表行经皮氧分压监测评估新生儿头枕部压疮发生的价值显著,可更好地为压疮的发生提供预警。
Objective:To explore the value of percutaneous oxygen partial pressure(TcPO2)monitoring based on child pressure ulcer risk assessment(Braden-Q)scale in evaluating the occurrence of pressure ulcers in the occipital region of neonates,so as to provide basis for early warning of pressure ulcers in neonatal intensive care unit(NICU).Method:A total of 60 neonates admitted in NICU of our hospital from October 2018 to April 2019 were selected as the research subjects.At the time of admission,Braden-Q was used to evaluate the risk score of pressure ulcers,and TcPO2 was used to monitor the oxygenation of the occipital region skin tissues of the children.According to whether pressure ulcers occurred during the NICU,they were divided into the pressure ulcer group(22 cases)and the non-pressure ulcer group(38 cases).The Braden-Q scale score and TcPO2 were compared between the two groups.The receiver operating Characteristic(ROC)curve was used to evaluate the early prediction effect of TcPO2 monitoring on pressure ulcers in the occipital region of neonates.Result:The Braden-Q scale score of the pressure ulcer group was(16.25±2.22)points,which was lower than(22.88±4.92)points of the non-pressure ulcer group,the difference was statistically significant(t=6.751,P=0.013).The proportions of low-risk,medium-risk and high-risk components in pressure ulcer group were 13.64%,45.45% and 40.91%,respectively,and those in non-pressure ulcer group were 50.00%,42.11% and 7.89%,respectively.There were statistically significant differences in the proportions of low-risk and high-risk components between the two groups(P<0.05).The TcPO2 on the 3rd,5th and 7th day of admission in NICU of neonates in the pressure ulcer group and the non-pressure ulcer group was lower than that on the 1st day,the differences were statistically significant(P<0.05).TcPO2 on the 3rd,5th and 7th day of pressure ulcer group were lower than that of non-pressure ulcer group,and the differences were statistically significant(P<0.05).The best cutoff value of neonates TcPO2 was 87.03 mm Hg,the area under the ROC curve(AUC value)was 0.728,the sensitivity was 90.91%,the specificity was 60.53%,and the 95%CI(0.768,0.927).Conclusion:The value of percutaneous oxygen partial pressure monitoring based on Braden-Q scale in evaluating the occurrence of pressure ulcers in the occipital region of neonates is significant,which can provide better early warning for the occurrence of pressure ulcers.
作者
施月菊
陈小玲
颜惠萍
洪丽锦
张美莉
SHI Yueju;CHEN Xiaoling;YAN Huiping;HONG Lijin;ZHANG Meili(The Children’s Hospital of Quanzhou City,Quanzhou 362000,China;不详)
出处
《中外医学研究》
2020年第34期181-183,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
经皮氧分压
Braden-Q量表
压疮
新生儿
Percutaneous oxygen partial pressure
Braden-Q scale
Pressure ulcers
Newborn
