术后使用自控镇痛泵患者产生压疮的观察与预防

[目的] 减少使用自控镇痛泵的患者产生压疮。[方法]实验组患者手术后给予平卧位,骶尾部垫气圈或软枕,6h后给予定时翻身,每2h一次,直至第3天拔除自控镇痛泵。传统组患者手术当天给予平卧位,术后第1天给予半卧位。以是否发生压疮为观察指标。[结果]实验组压疮发生率为0,传统组为7.3％,两组差异有显著性(P<0.05)。[结论] 实验组术后体位的放置方法降低了使用自控镇痛泵的患者压疮发生率,有实用价值,可予推广。

The observation and prevention of pressure sore in patients adopting self-controlled analgesia pump after operation

[Objective] To reduce pressure sore in patients adopting patient controlled analgesia pump. [Methods] Experiment group: Patient lie-flat after operation with an air bag or soft pillow under sacrococcy for six hours followed by turning over every two hour regularly till the third day post-operation and then remove the patient controlled analgesia pump. Convention group: Patient lie-flat on the first day after operation, followed by semi lying position . The occurrence of pressure sore was observed and recorded. [Results] The pressure sore occurrence rate was zero in experiment group while the occurrence rate was 7. 3% in convention group. The different was significant (P<0. 05). [Conclusion] The experiment group is much better than that of convention group. The pressure sore occurrence rate was greatly reduced.