| 练祝平.Ⅲ度烧伤导致应激性溃疡的危险因素分析[J].中国烧伤创疡杂志,2016,(6):395~398. |
| DOI： |
| 中文关键词: 烧伤 应激性溃疡 危险因素 休克 |
| 英文关键词:Burn Stress ulcers Risk factors Shock |
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| 中文摘要: |
| 【摘要】 目的 分析?探讨Ⅲ度烧伤导致应激性溃疡的危险因素及防治策略?方法 将2011 年1 月-2015年10 月惠东县人民医院收治的168 例烧伤患者分为合并应激性溃疡组(102 例) 和未合并应激性溃疡组(66例), 对两组患者的性别?年龄?烧伤面积?伴发疾病等可能导致应激性溃疡的相关危险因素进行Logistic 分析,探讨烧伤导致应激性溃疡的相关危险因素及防治措施?结果 Ⅲ度烧伤导致应激性溃疡的危险因素为年龄(OR =2.998, 95%CI 为1.176 ~ 7.639, P < 0.05)?休克(OR = 2.936, 95% CI 为1.198 ~ 7.246, P < 0. 05) 及烧伤面积(OR =2.536, 95%CI 为1. 293 ~ 6. 998, P < 0.05); 早期给予患者补液抗休克?质子泵抑制剂防治应激性溃疡具有一定疗效?结论 Ⅲ度烧伤导致应激性溃疡的危险因素有年龄?烧伤面积及是否伴发休克; 对危险因素进行密切观察和监控, 积极治疗烧伤创面及预防休克可能是预防应激性溃疡的关键所在? |
| 英文摘要: |
| 【Abstract】 Objective To analyze and explore risk factors involved in the occurrence of stress ulcers caused by third degree burns and their control strategies. Methods 168 burn patients admitted to Huidong People’s Hospital between January 2011 and October 2015 were divided into two groups: stress ulcer group (102 patients) and non?stress ulcer group(66 patients), and then the logistic regression analysis was conducted on the factors that might predispose the patients to stress ulcers, such as gender, age, burned surface area and concomitant diseases, followed by the exploration of the relevant risk factors and corresponding control measures. Results The risk factors inducing stress ulcers in third degree burns include age (OR =2.998, 95%CI: 1.176 -7.639, P <0.05), shock (OR =2.936, 95%CI: 1.198 -7.246, P <0.05)and burned surface area (OR = 2.536, 95% CI: 1.293 ~ 6.998, P < 0.05). Early adoption of fluid resuscitation for shock prevention and proton pump inhibitors was effective in the prevention and control of stress ulcers to some extent.Conclusion Age, burned surface area and occurrence of shock are the risk factors for stress ulcers in third degree burns.The key to preventing stress ulcers may lie in the close monitoring of these risk factors, active treatment for burn wounds and successful prevention of shock. |
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