2种不同卧位预防早期压疮的效果比较

目的 比较2种不同卧位预防早期压疮的效果.方法 采用Braden评分表对伴有意识或运动功能障碍的卧床患者进行压疮危险因素评估,将评分≤12分的203例患者随机分为观察组102例和对照组101例.观察组采用仰卧位身体向左或右倾斜20～30°与仰卧位交替的方法翻身,对照组采用90°侧卧位与仰卧位交替的方法翻身,探讨2种卧位预防早期压疮的效果.结果 观察组97例预防早期压疮有效,有效率达95.09%.对照组86例有效,有效率为85.15%.2组比较,差异有统计学意义(P<0.05).结论 采用仰卧位身体向左或右倾斜20～30°与仰卧位交替的方法翻身,较90°侧卧位与仰卧位交替翻身预防早期压疮明显有效.

Comparison of different lying style in the prevention of pressure ulcer

Objective Effect of different lying style on the prevention of pressure ulcer was compared in this study. Methods Braden scale was used to assess the risk factors of pressure ulcer in patients with consciousness and motor function handicap. 203 patients with marks under 12 was randomized into the observation group (102 cases) and the control group (101 cases). Patients in the observation group lied on their backs or with alternation of lateral recumbent position of 20～30°. The control group adopted lateral recumbent position of 90° with alternation of lying on their backs. The effect of different lying style on the prevention of pressure ulcer was compared. Results 97 patients in the observation group received apparent effect in the prevention of pressure ulcer (95.09%). While only 86 patients in the control group got significant effect (85.15%), which was statistically different from that of the observation group (P<0.05). Conclusion The style of lying on their backs or with alternation of lateralrecumbent position of 20～30° was more effective than that of lateral recumbent position of 90° with alternation of lying on their backs in the prevention of pressure ulcer.