成人心血管手術發(fā)生相關壓力性損傷的危險因素分析

打開文本圖片集

【摘要】目的：研究在成人心血管手術中出現(xiàn)壓力性損傷的主要原因。方法：選取2020年2月—2022年2月期間本院收治的78例成人患者，均采取心血管手術。其中16例發(fā)生壓力性損傷，62例未發(fā)生。比較兩組患者各項指標，并進行單因素和多因素分析，明確壓力性損傷發(fā)生的危險因素。結果：單因素分析顯示，年齡、吸煙史、手術時間、糖尿病病史、急診手術、肝素鈉用量、術前收縮壓、高血壓病史、紅細胞輸入量、體外循環(huán)時間、術前最低體溫、術中最低動脈壓與術前前白蛋白水平是引起壓力性損傷的危險因素，P

【關鍵詞】成人；心血管手術；相關壓力性損傷；危險因素

Analysis of risk factors for stress injury involved in cardiovascular surgery in adults

TIAN Wenli

The First Affiliated Hospital of Xi’an Jiaotong University， Xi’an， Shaanxi 710061， China

【Abstract】Objective：To study the main causes of stress injury in adult cardiovascular surgery.Methods：78 adult patients admitted to our hospital from February 2020 to February 2022 were selected，all of whom underwent cardiovascular surgery.Of these，16 cases experienced pressure injury and 62 cases did not.Various indicators between the two groups were compared，and univariate and multivariate analysis were performed to identify the risk factors of the occurrence of stress injury.Results：Univariate analysis showed that age，smoking history，operation time，diabetes history，emergency surgery，heparin sodium dosage，preoperative systolic blood pressure，history of hypertension，red blood cells input，cardiopulmonary bypass time，minimum preoperative body temperature，minimum intraoperative arterial pressure and preoperative prealbumin level were risk factors for stress injury，P

【Key Words】Adult； Cardiovascular surgery； Related stress injury； Risk factors

近年來，心血管手術技術不斷發(fā)展，應用術式更為復雜，臨床護理難度也有所增加[1]。（剩余3634字）