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使用无创压力分布测量系统评估截石位时骶骨区域的外部压力。

Evaluation of external pressure to the sacral region in the lithotomy position using the noninvasive pressure distribution measurement system.

作者信息

Mizuno Ju, Takahashi Toru

机构信息

Department of Anesthesiology and Pain Medicine, Juntendo University, Faculty of Medicine, Bunkyo-ku, Tokyo.

Faculty of Health and Welfare Science, Okayama Prefectural University, Soja-shi, Okayama, Japan.

出版信息

Ther Clin Risk Manag. 2017 Feb 17;13:207-213. doi: 10.2147/TCRM.S122489. eCollection 2017.

DOI:10.2147/TCRM.S122489
PMID:28255240
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5322810/
Abstract

BACKGROUND

Pressure ulcers (PUs) in the sacral region can be a complication of surgical procedures performed in the lithotomy position. Previous reports have noted a difference between men and women in PU development related to the supine position, and body weight and body mass index (BMI) have been also described as known risk factors in supine position-related PU development. The BIG-MAT system is a noninvasive pressure distribution measurement device used to measure external pressure (EP). We used this system to investigate the relationship between EP to the sacral region in the lithotomy position and selected physical characteristics.

METHODS

We recruited 21 young, healthy volunteers (11 men and 10 women, aged 21.4±0.5 years). Using the BIG-MAT system, we measured four types of EP to the sacral region: box pressure, peak box pressure, contact pressure, and peak contact pressure. We analyzed the relationships between these dynamic parameters and physical characteristics of the participants.

RESULTS

There were no differences between men and women in the four types of EP, and no significant differences related to the participants' height, weight, or BMI.

CONCLUSION

An individual's height, weight, and BMI may not contribute to the risk of inducing lithotomy position-related PUs in the sacral region. The noninvasive pressure distribution measurement system BIG-MAT for patients in the lithotomy position during surgery could become a significant device when estimating EP at the sacral region.

摘要

背景

骶骨区域的压疮可能是截石位手术操作的一种并发症。既往报道指出，仰卧位相关压疮的发生在男性和女性之间存在差异，且体重和体重指数（BMI）也被描述为仰卧位相关压疮发生的已知风险因素。BIG-MAT系统是一种用于测量外部压力（EP）的非侵入性压力分布测量设备。我们使用该系统研究截石位时骶骨区域的EP与选定身体特征之间的关系。

方法

我们招募了21名年轻健康志愿者（11名男性和10名女性，年龄21.4±0.5岁）。使用BIG-MAT系统，我们测量了骶骨区域的四种类型的EP：箱式压力、峰值箱式压力、接触压力和峰值接触压力。我们分析了这些动态参数与参与者身体特征之间的关系。

结果

四种类型的EP在男性和女性之间没有差异，与参与者的身高、体重或BMI也没有显著差异。

结论

个体的身高、体重和BMI可能不会增加骶骨区域发生截石位相关压疮的风险。手术期间用于截石位患者的非侵入性压力分布测量系统BIG-MAT在估计骶骨区域的EP时可能会成为一种重要设备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/5322810/4db2a010d159/tcrm-13-207Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/5322810/1f557d9923bf/tcrm-13-207Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/5322810/89447c14a1ae/tcrm-13-207Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/5322810/4db2a010d159/tcrm-13-207Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/5322810/1f557d9923bf/tcrm-13-207Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/5322810/89447c14a1ae/tcrm-13-207Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1f4/5322810/4db2a010d159/tcrm-13-207Fig3.jpg

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