沈燕 沈琰

    [摘要] 目的 探討脑卒中患者压力性损伤风险现状及影响因素，并制订相关管理措施，旨在为预防脑卒中患者发生压力性损伤提供依据。 方法 回顾性分析2018年6月至2019年6月本院收治的脑卒中患者106例临床完整资料，将未发生压力性损伤患者79例设为对照组，将已发生压力性损伤患者27例设为观察组。设计一般情况调查表，仔细查阅患者病历资料，详细记录两组患者一般资料，包括性别、年龄、体质量指数(BMI)、脑卒中类型(脑出血及脑梗死)、糖尿病、是否感染(尿路感染、肺部感染、胃肠道感染)、营养状况、潮湿环境、摩擦力、剪切力、感觉功能障碍、压疮危险评分(Waterlow)等。经单因素、多因素分析脑卒中患者治疗期间发生压力性损伤的风险因素。 结果 两组患者年龄≥70岁、营养不良、感觉功能障碍、压疮危险评分>20分、潮湿环境、摩擦力、剪切力比较，差异有统计学意义(P20分、潮湿环境、摩擦力、剪切力可能是导致脑卒中患者发生压力性损伤的危险因素(OR>1，P20分、潮湿环境、摩擦力及剪切力均可能增加脑卒中患者发生压力性损伤的风险，故临床需针对相关风险因素，积极制订早期预防护理管理措施，以预防发生压力性损伤。

    [关键词] 脑卒中;压力性损伤;危险因素;管理措施

    [中图分类号] R473? ? ? ? ? [文献标识码] B? ? ? ? ? [文章编号] 1673-9701(2021)09-0181-04

    Analysis on the risk factors of stress injury in patients with stroke

    SHEN Yan? ?SHEN Yan

    Department of Neurology，Huzhou First Peoples Hospital in Zhejiang Province，Huzhou? 313000， China

    [Abstract] Objective To explore the current status and influencing factors of pressure injury in stroke patients， and to formulate relevant management measures，in a bid to provide evidence for the prevention of pressure injury in stroke patients. Methods The clinical complete data of 106 stroke patients who were admitted to our hospital from June 2018 to June 2019 were retrospectively analyzed. 79 patients without pressure injury were included in the control group ......