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超声技术在老年重症患者压力性损伤管理中的应用

Application of ultrasound in elderly patients with pressure injury in ICU
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摘要 目的 探讨超声技术在老年重症患者压力性损伤中的应用效果。方法 选取2022年1月至2023年2月在南京医科大学附属苏州医院急诊重症监护室住院的150例老年患者作为研究对象,采用信封法将其随机分为对照组和观察组,每组各75例。对照组采用传统方法进行压力性损伤风险评估,观察组采用超声技术进行压力性损伤风险评估。比较两组压力性损伤治愈好转时间、ICU治疗天数、总住院天数、院内压力性损伤发生率、家属临床满意度,统计观察组超声辅助检查的分期符合率。结果 观察组压力性损伤治愈好转时间、ICU治疗天数、总住院天数均明显低于对照组;院内压力性损伤发生率低于对照组;家属临床满意度明显高于对照组;观察组超声辅助检查在3期压力性损伤及深部组织损伤的分期符合率高于无辅助检查(均P<0.05)。结论 超声技术对老年重症患者压力性损伤的管理具有积极作用,值得临床推广应用。 Objective To explore the application effect of ultrasound technology in the pressure injury of patients with severe diseases.Methods From January 2022 to February 2023,150 elderly patients were selected from the emergency intensive care unit of Suzhou Hospital affiliated to Nanjing Medical University.They were randomly divided into a control group and an observation group,with 75 patients in each group.The control group used traditional methods for pressure injury risk assessment,and the observation group used ultrasound technology for pressure injury risk assessment.The healing and improvement time of pressure injury,ICU treatment days,total hospitalization days,incidence of hospital-acquired pressure injuries,family satisfaction in clinical care and the staging compliance rate of ultrasound-assisted examinations were compared.Results The healing and improvement time of pressure injury,ICU treatment days,and total hospitalization days were significantly lower in the observation group than those in the control group;family members' clinical satisfaction was significantly higher in the observation group than those in the control group;the staging accuracy of ultrasonography for stage three pressure injury and deep tissue injury was higher(P<0.05).Conclusions Ultrasound technology plays a positive role in the management of pressure injuries in patients with severe diseases and it is worthy of clinical application.
作者 许培 吴玲玉 庄晓琴 马丽华 XU Pei;WU Lingyu;ZHUANG Xiaoqin;MA Lihua(Department of EICU,Suzhou Hospital Affiliated to the Nanjing Medical University,Suzhou 215002,China)
出处 《医药高职教育与现代护理》 2024年第2期144-149,共6页 Medical Higher Vocational Education and Modern Nursing
基金 江苏省苏州市立医院护理类科研项目(Slyyhl202103)。
关键词 老年患者 超声 压力性损伤 重症监护室 Elderly patients Ultrasound Pressure injury ICU
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