蛛网膜下腔出血患者术后急性压疮形成的影响因素分析

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Abstract Objective To investigate the influencing factors of the formation of postoperative acute pressure ulcers in patients with subarachnoid hemorrhage (SAH). Methods The data of 80 patients with SAH who completed surgery in Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from January to October 2020 were retrospective analyzed. According to whether postoperative acute pressure ulcers occurred, they were divided into acute pressure ulcers group (10 cases) and no acute pressure ulcers group (70 cases). The general data of the two groups were compared, and the influencing factors of the formation of postoperative acute pressure ulcers in SAH patients were analyzed by univariate and multivariate analysis. Results The intraoperative body temperature of the acute pressure ulcers group was lower than that of the no acute pressure ulcers group, the preoperative fasting blood glucose level was higher than that of no acute pressure ulcers group, and the stress response degree was worse than that of the no acute pressure ulcers group, with statistical significant differences (all P < 0.05). The results of univariate and multivariate logistic regression analysis showed that high intraoperative body temperature were the protective factors for the formation of postoperative acute pressure ulcers in SAH patients (OR ＜ 1, P ＜ 0.05); high level of preoperative fasting blood glucose and severe stress response degree might be risk factors for postoperative acute pressure ulcers in SAH patients (OR ＞ 1, P ＜ 0.05). Conclusion Some patients with SAH are still at risk of postoperative acute pressure ulcers, which may be related to the high level of preoperative fasting blood glucose and severe stress response degree, and the high intraoperative body temperature may be helpful to prevent the formation of postoperative pressure ulcers. Patients at high risk should be actively intervened in early stage.

Key words： Subarachnoid hemorrhage Acute pressure ulcers Intraoperative body temperature Fasting blood glucose Stress response

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	SHEN Jie1 WANG Jing2▲

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SHEN Jie1 WANG Jing2▲. Analysis of influencing factors of the formation of postoperative acute pressure ulcers in patients with subarachnoid hemorrhage[J]. 中国医药导报, 2021, 18(14): 81-84.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I14/81

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