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重症监护病房接受治疗患者的选定血液生化参数与压疮风险

Selected Biochemical Blood Parameters and a Risk of Pressure Ulcers in Patients Receiving Treatment in Intensive Care Units.

作者信息

Bazaliński Dariusz, Midura Beata, Wójcik Anna, Więch Paweł

机构信息

Father B. Markiewicz Podkarpackie Specialist Oncology Centre, Specialist Hospital in Brzozów, 36-200 Brzozów, Poland.

Clinical Provincial Hospital No. 2 in Rzeszów, Rzeszów, 35-959 Rzeszów, Poland.

出版信息

Medicina (Kaunas). 2021 Feb 19;57(2):177. doi: 10.3390/medicina57020177.

DOI:10.3390/medicina57020177
PMID:33669609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7922769/
Abstract

: This study aimed to assess the level of selected biochemical parameters in venous blood and their potential effects on the development of pressure ulcers in patients treated in intensive care settings. Fifty patients hospitalised in an intensive care unit (ICU) were enrolled for the study. The methods used included controlled observation, literature review and medical record analysis. The observation protocol applied in the study consisted of two parts comprising the basic information, sociodemographic data, results of laboratory tests (CRP, PCT, albumin, protein and haemoglobin concentrations) as well as the Braden Scale for Predicting Pressure Ulcer Risk. The subjects presented moderate to high risk of pressure ulcers, reflected by the mean score of 8.18 ± 1.3 points, with minimum and maximum scores of 6 and 12 points, respectively. Normal albumin level was identified in only five subjects (10.0%) while 45 subjects (90.0%) were found with results below the norm. A statistical relationship was observed between such variables as albumin concentration ( < 0.01) and total protein level ( = 0.007). The findings show a strong correlation between the score in the Braden Scale and the level of albumins (R = 0.55). In our study, lower concentrations of albumins and total proteins correspond to a greater risk of pressure ulcers.

摘要

本研究旨在评估重症监护病房患者静脉血中特定生化参数水平及其对压疮形成的潜在影响。选取了50名入住重症监护病房(ICU)的患者参与研究。所采用的方法包括对照观察、文献综述和病历分析。本研究应用的观察方案包括两部分,涵盖基本信息、社会人口统计学数据、实验室检查结果(CRP、PCT、白蛋白、蛋白质和血红蛋白浓度)以及压疮风险预测的Braden量表。受试者存在中度至高的压疮风险,平均得分为8.18±1.3分,最低分和最高分分别为6分和12分。仅5名受试者(10.0%)白蛋白水平正常,而45名受试者(90.0%)的结果低于正常水平。观察到白蛋白浓度(<0.01)和总蛋白水平(=0.007)等变量之间存在统计学关系。研究结果显示Braden量表得分与白蛋白水平之间存在强相关性(R = 0.55)。在我们的研究中,白蛋白和总蛋白浓度较低对应着更高的压疮风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd1/7922769/8d6c018ed6fa/medicina-57-00177-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd1/7922769/c625ee4a9ab1/medicina-57-00177-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd1/7922769/d57810e85e02/medicina-57-00177-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd1/7922769/8d6c018ed6fa/medicina-57-00177-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd1/7922769/c625ee4a9ab1/medicina-57-00177-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd1/7922769/d57810e85e02/medicina-57-00177-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd1/7922769/8d6c018ed6fa/medicina-57-00177-g003.jpg

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An overview of co-morbidities and the development of pressure ulcers among older adults.老年患者合并症概述及压疮的发生发展。
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ESPEN guideline on clinical nutrition in the intensive care unit.ESPEN 重症监护病房临床营养指南。
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