摘要
目的:分析创伤性骨盆骨折患者压力性损伤的影响因素。方法:回顾性分析2019年1月—2022年12月在厦门弘爱医院急诊科治疗的176例创伤性骨盆骨折患者的临床资料,统计压力性损伤患者的例数,将发生压力性损伤的患者纳入发生组,未发生压力性损伤的患者纳入未发生组。对两组的临床基线资料进行单因素分析,并对差异有统计学意义的单因素进行多因素logistic回归分析。结果:176例创伤性骨盆骨折患者中,30例发生压力性损伤,发生率为17.05%。单因素分析显示,两组性别、吸烟史、骨折类型、高脂血症、高血压、血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))比较,差异无统计学意义(P>0.05);发生组年龄≥60岁、糖尿病、体重指数(BMI)≥28 kg/m^(2)、发热、卧床时间≥5 d患者占比高于未发生组,差异有统计学意义(P<0.05)。多因素分析显示,年龄≥60岁(OR=2.688,95%CI:1.103,6.551)、糖尿病(OR=2.559,95%CI:1.040,6.297)、BMI≥28 kg/m^(2)(OR=3.080,95%CI:1.251,7.581)、发热(OR=4.948,95%CI:1.743,14.044)、卧床时间≥5 d(OR=4.038,95%CI:1.542,10.577)是创伤性骨盆骨折患者发生压力性损伤的独立危险因素(P<0.05)。结论:创伤性骨盆骨折患者压力性损伤发生率较高,且与患者年龄、糖尿病、BMI、发热、卧床时间有关,临床可据此予以针对性干预,以降低其发生率。
Objective:To analyze the influencing factors of pressure injury in patients with traumatic pelvic fracture.Method:A retrospective analysis was conducted on the clinical data of 176 patients with traumatic pelvic fractures treated by the Emergency Department of Xiamen Humanity Hospital from January 2019 to December 2022.The number of patients with pressure injury was counted,and patients with pressure injury were included in the occurrence group,while patients without pressure injury were included in the non occurrence group.Univariate analysis was conducted on the clinical baseline data of the two groups,and multivariate logistic regression analysis was performed on the statistically significant single factors.Result:Among 176 patients with traumatic pelvic fractures,a total of 30 patients experienced pressure injury,the injury rate was 17.05%.Univariate analysis showed that there were no statistically significant differences between the two groups in terms of gender,smoking history,fracture type,hyperlipidemia,hypertension,blood oxygen partial pressure(PaO_(2)),arterial carbon dioxide partial pressure(PaCO_(2))(P>0.05).The proportion of patients with age≥60 years old,diabetes,body mass index(BMI)≥28 kg/m^(2),fever,and bed rest time≥5 d in the occurrence group were higher than those in the non occurrence group,the differences were statistically significant(P<0.05).Multivariate analysis showed that age≥60 years old(OR=2.688,95%CI:1.103,6.551),diabetes(OR=2.559,95%CI:1.040,6.297),BMI≥28 kg/m^(2)(OR=3.080,95%CI:1.251,7.581),fever(OR=4.948,95%CI:1.743,14.044),and bed rest time≥5 d(OR=4.038,95%CI:1.542,10.577)were independent risk factors for pressure injury in patients with traumatic pelvic fracture(P<0.05).Conclusion:The incidence of pressure injury in patients with traumatic pelvic fracture is high,and it is related to the patients'age,diabetes,BMI,fever,and bed rest time.Therefore,clinical intervention can be targeted to reduce the incidence.
作者
陈福平
沈开金
CHEN Fuping;SHEN Kaijin(Xiamen Humanity Hospital,Xiamen 361006,China;不详)
出处
《中外医学研究》
2023年第26期161-164,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
骨盆骨折
创伤性
回顾性分析
影响因素
Pelvic fracture
Traumatic
Retrospective analysis
Influencing factors
