ICU脓毒血症患儿压力性损伤发生状况及其影响因素分析

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Abstract Objective To observe the occurrence of pressure injury in children with pyemia in ICU, and to analyze its influencing factors. Methods A total of 82 children with pyemia in intensive care unit (ICU) admitted to West China Hospital, Sichuan University from May 2018 to December 2019 were selected as the research subjects, they were divided into the occurrence group (18 cases) and the non-occurrence group (64 cases) according to whether pressure injury occurred. The main clinical data of the two groups were compared, and multivariate logistic regression was used to analyze the influencing factors of pressure injury. Results The results of this study showed that the incidence of pressure injury was 21.95%. The proportions of mechanical ventilation, proportions of drowsiness and coma, the proportions of using more than two kinds of medical equipment and interleukin-6 (IL-6) level in the occurrence group were higher than those in the non-occurrence group, the levels of albumin and hemoglobin were lower than those in the non-occurrence group, and the differences were statistically significant (all P ＜ 0.05). Multivariate logistic regression analysis showed that using two kinds of medical equipment, mechanical ventilation, low albumin and hemoglobin levels were the risk factors for pressure injury in children with pyemia in ICU (all OR ＞ 1, P ＜ 0.05). Low IL-6 level was a protective factor for pressure injury in children with pyemia in ICU (OR < 1, P < 0.05). Conclusion Mechanical ventilation, using more than two kinds of medical equipment, and low levels of albumin and hemoglobin all increase the risk of pressure injury in children with pyemia in ICU. Low IL-6 level can reduce the risk of its occurrence, and clinical attention should be paid to early rational prevention and intervention to reduce the occurrence of pressure injury.

Key words： Pyemia Intensive care unit Pressure injury Mechanical ventilation Hemoglobin Albumin Interleukin-6

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	ZHOU Qian FENG Mei▲

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ZHOU Qian FENG Mei▲. Analysis of the occurrence of pressure injury and its influencing factors in children with pyemia in ICU[J]. 中国医药导报, 2021, 18(19): 110-113.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I19/110

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