首页|NPUAP联合超声技术对早期识别压力性损伤患者的临床价值研究

NPUAP联合超声技术对早期识别压力性损伤患者的临床价值研究

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目的 探讨NPUAP联合超声技术对早期识别压力性损伤患者的可行性及应用价值.方法 选取2022年2月至2023年3月怀化市第二人民医院收治的58例入院时Braden量表评分≤12分患者为研究对象.所以患者入院时(T0)、入院后2周(T2)均在高风险区域皮肤或疑似及已具有1处或多处深度未知压力性损伤处,通过视诊、问诊、触诊的传统方法评估其压力性损伤深度及范围,并进行NPUAP分类.对58例患者均进行超声检查后,结合NPUAP分类再次评估损伤范围、深度,对比超声检查前后压力性损伤识别准确率,并采取早期干预措施,评估患者预后情况.结果 应用NPUAP联合超声技术早期识别出高风险区域皮肤中压力性损伤共69处,其中1期15处、2期13处、深部组织损伤期36处(其中,疑似压力性损伤区域皮肤处检出15处)、不可分期5处,失禁性皮炎2处.检出高危区域皮肤(外观无异常)异常超声征象11处.传统评估方法识别出压力性损伤共51处,其中,1期21处、2期10例、深部组织损伤期10处、不可分期5处,失禁性皮炎5处.及早采取有效干预措施2周后复评,1期15处全部痊愈,2期12处愈合8处、好转4处,36处深部组织损伤期中15处愈合、17处分期不变但范围缩小,2处进展为3期、3处进展为4期,不可分期5处中经清创后3期2处、4期3处.结论 在高风险区域皮肤采用NPUAP联合超声技术可早期有效判断压力性损伤,并明确损伤深度,从而可为临床干预提供指导,并持续改进压力性损伤的护理质量.
ClinicalValue of NPUAP Combined with Ultrasound in Early Identification of Patients with Pressure Injury
Objective:To explore the feasibility and application value of NPUAP combined with ultrasound in early i-dentification of patients with pressure injury.Methods:From February 2022 to March 2023,58 patients with stress injury admitted to the Second People's Hospital of Huaihua City were selected as the research objects.Therefore,the patients were in the high-risk area at the time of admission(T0)and two weeks after admission(T2),and the depth and range of pressure injuries were evaluated by traditional methods of visual inspection,inquiry and palpa-tion,and NPUAP classification was carried out.After ultrasound examination,58 patients were re-evaluated with NPUAP classification,and the accuracy of pressure injury identification before and after ultrasound examination was compared,and early intervention measures were taken to evaluate the prognosis of patients.Results:A total of 69 pressure injuries in high-risk areas were identified by NPUAP combined with ultrasound,including 15 in stage 1 and 13 in stage 2,36 in deep tissue injuries(including 15 in suspected pressure injuries),5 in non-staging areas and 2 in incontinence dermatitis.Eleven abnormal ultrasonic signs of skin(no abnormal appearance)in high-risk areas were detected.Traditional assessment methods identified 51 stress injuries,including 21 in stage 1,10 in stage 2,10 in deep tissue injury,5 in non-staging,and 5 in incontinence dermatitis.Effective intervention measures were taken as early as possible and re-evaluated two weeks later.All 15 sites were cured in the first stage,8 sites were healed in the second stage,and 4 sites were improved.Of the 36 deep tissue injuries,15 sites were healed,17 sites were unchanged but the scope was reduced,2 sites progressed to the third stage,3 sites progressed to the fourth stage,and 5 sites that could not be staged were debrided in the third stage and 3 sites in the fourth stage.Conclu-sion:The application of NPUAP combined with ultrasound technology in high-risk areas can effectively judge the pressure injury at an early stage and determine the depth of the injury,which can provide guidance for clinical inter-vention and continuously improve the nursing quality of the pressure injury.

Ultrasound technologyPressure injuryEarly identification

段凝、周文莉

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怀化市第二人民医院,湖南怀化 418000

超声技术 压力性损伤 早期识别

湖南省卫生健康委科研计划项目

202214054428

2024

生命科学仪器
北京市北分仪器技术公司

生命科学仪器

影响因子:0.305
ISSN:1671-7929
年,卷(期):2024.22(2)