继续医学教育
繼續醫學教育
계속의학교육
CONTINUING MEDICAL EDUCATION
2015年
8期
112-114
,共3页
压疮%Braden评估表%营养
壓瘡%Braden評估錶%營養
압창%Braden평고표%영양
Pressure ulcer%Braden assessment scale%Nutrition
目的：探讨营养相关指标在压疮护理中的应用。方法收集研究对象的性别、年龄、红细胞计数、血红蛋白浓度、白蛋白浓度等指标，采用Braden评估表对压疮患者进行评分。同时随机将Ⅲ～Ⅳ期患者分为常规护理组，人血白蛋白10 g组，人血白蛋白20 g组，并记录压疮愈合时间。结果压疮患者红细胞计数及血红蛋白浓度均低于正常人群，且Ⅲ～Ⅳ期压疮患者红细胞计数及血红蛋白浓度较Ⅰ～Ⅱ期压疮患者更低。虽然Ⅰ～Ⅱ期压疮患者白蛋白浓度与正常人群无明显差别，但Ⅲ～Ⅳ期压疮患者白蛋白浓度明显低于Ⅰ～Ⅱ期压疮患者和正常人群。红细胞计数、血红蛋白浓度、白蛋白浓度与Braden评分的直线回归方程分别为Y=3.427X+2.261，Y=0.207X-8.973，Y=0.601X-6.801。人血白蛋白20 g组、人血白蛋白10 g组压疮愈合天数较常规护理组短。结论 Braden评估表的使用，对评估压疮危险因素、预防压疮发生的有重要意义，加强营养是治疗压疮的关键。
目的：探討營養相關指標在壓瘡護理中的應用。方法收集研究對象的性彆、年齡、紅細胞計數、血紅蛋白濃度、白蛋白濃度等指標，採用Braden評估錶對壓瘡患者進行評分。同時隨機將Ⅲ～Ⅳ期患者分為常規護理組，人血白蛋白10 g組，人血白蛋白20 g組，併記錄壓瘡愈閤時間。結果壓瘡患者紅細胞計數及血紅蛋白濃度均低于正常人群，且Ⅲ～Ⅳ期壓瘡患者紅細胞計數及血紅蛋白濃度較Ⅰ～Ⅱ期壓瘡患者更低。雖然Ⅰ～Ⅱ期壓瘡患者白蛋白濃度與正常人群無明顯差彆，但Ⅲ～Ⅳ期壓瘡患者白蛋白濃度明顯低于Ⅰ～Ⅱ期壓瘡患者和正常人群。紅細胞計數、血紅蛋白濃度、白蛋白濃度與Braden評分的直線迴歸方程分彆為Y=3.427X+2.261，Y=0.207X-8.973，Y=0.601X-6.801。人血白蛋白20 g組、人血白蛋白10 g組壓瘡愈閤天數較常規護理組短。結論 Braden評估錶的使用，對評估壓瘡危險因素、預防壓瘡髮生的有重要意義，加彊營養是治療壓瘡的關鍵。
목적：탐토영양상관지표재압창호리중적응용。방법수집연구대상적성별、년령、홍세포계수、혈홍단백농도、백단백농도등지표，채용Braden평고표대압창환자진행평분。동시수궤장Ⅲ～Ⅳ기환자분위상규호리조，인혈백단백10 g조，인혈백단백20 g조，병기록압창유합시간。결과압창환자홍세포계수급혈홍단백농도균저우정상인군，차Ⅲ～Ⅳ기압창환자홍세포계수급혈홍단백농도교Ⅰ～Ⅱ기압창환자경저。수연Ⅰ～Ⅱ기압창환자백단백농도여정상인군무명현차별，단Ⅲ～Ⅳ기압창환자백단백농도명현저우Ⅰ～Ⅱ기압창환자화정상인군。홍세포계수、혈홍단백농도、백단백농도여Braden평분적직선회귀방정분별위Y=3.427X+2.261，Y=0.207X-8.973，Y=0.601X-6.801。인혈백단백20 g조、인혈백단백10 g조압창유합천수교상규호리조단。결론 Braden평고표적사용，대평고압창위험인소、예방압창발생적유중요의의，가강영양시치료압창적관건。
Objective Discuss the application of nutrition-related indicators in pressure ulcer nursing.Methods Gender, age, red blood cell count, hemoglobin concentration, albumin concentration were collected from objects, and gave a score with the Braden assessment scale. Then we divided stageⅢ~Ⅳ pressure ulcer patients into routine nursing group, human albumin 10g group, human albumin 20g group in random, and record the recover time.ResultsPatients with pressure ulcer were lower than normal people in red blood cell count and hemoglobin concentration, moreover, patients with stageⅢ~Ⅳpressure ulcer were lower than patients with stage Ⅰ ~ Ⅱ pressure ulcer in red blood cell count and hemoglobin concentration. Although patients with stage Ⅰ ~ Ⅱ pressure ulcer had no obvious difference with the normal people in albumin concentration, patients with stage Ⅲ ~ Ⅳ pressure ulcer significantly lower than patients with stage Ⅰ ~ Ⅱ pressure ulcer and normal people in albumin concentration. The linear regression equations of red blood cell count, hemoglobin concentration, albumin concentrations and the Braden score were Y=3.427X+2.261, Y=0.207X-8.973, Y=0.601X-6.801, respectively. Human albumin 20g group and human albumin 10g group were shorter than routine nursing in the recover time. Conclusion The use of the Braden assessment scale has important meaning to evaluate the risk of pressure ulcer and to prevent it. Strengthen nutrition is the key to treat of pressure ulcer.
