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Braden 压疮风险评估量表联合 GCS 对重型颅脑损伤患者压疮发生的预测价值分析
Predictive Value of Braden Scale Combined with GCS for Assessing Pressure Ulcer Risk in Patients with Severe Craniocerebral Injury

李丹,高秀荣.Braden 压疮风险评估量表联合 GCS 对重型颅脑损伤患者压疮发生的预测价值分析[J].中国烧伤创疡杂志,2022,(6):401~403.

DOI：

中文关键词: 重型颅脑损伤压疮 Braden 压疮风险评估量表格拉斯哥昏迷量表预测价值

英文关键词:Severe craniocerebral injury Pressure ulcer Braden Scale Glasgow coma scale Predictive value

基金项目:

作者	单位
李丹	462500 河南平顶山，平顶山河舞总医院重症医学科
高秀荣

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中文摘要:

【摘要】目的探讨Braden压疮风险评估量表评分联合格拉斯哥昏迷量表（GCS）评分预测重度颅脑损伤患者压疮发生的临床价值。方法选取2018年6月至2020年12月平顶山河舞总医院收治的94例重度颅脑损伤患者作为研究对象，收集患者性别、年龄、入院后首次Braden评分与GCS评分以及是否发生压疮等资料，并根据是否发生压疮将其分为压疮组和非压疮组，分析Braden评分及GCS评分对压疮发生的预测价值。结果 94例重度颅脑损伤患者中40例（42.55%）患者发生压疮，设为压疮组；54例（57.45%）患者未发生压疮，设为非压疮组。压疮组患者Braden评分及GCS评分均明显低于非压疮组（t=5.905、3.003，P＜0.001、P=0.003）；Spearman相关性分析结果显示，Braden评分及GCS评分与压疮的发生呈显著相关性（r=-0.543、-0.482，P均＜0.001）；ROC曲线分析结果显示，Braden评分及GCS评分联合评估预测压疮发生的AUC为0.847，灵敏度为95.00%，特异度为77.41%。结论 Braden压疮风险评估量表评分联合GCS评分在重度颅脑损伤患者压疮发生风险中具有较高的预测价值。

英文摘要:

【Abstract】 Objective To study the clinical value of Braden Scale combined with Glasgow coma scale (GCS) for predicting pressure ulcer risk in patients with severe craniocerebral injury. Methods 94 patients with severe craniocerebral injury, admitted into Hewu General Hospital between June 2018 and December 2020, were enrolled as research subjects, and the data, including sex, first?time Braden scores and GCS scores after admission, and occurrence of pressure ulcer, etcgroup to analyze the predictive value of Braden Scale and GCS for assessing the occurrence of pressure ulcer. Results Among the 94 patients with severe craniocerebral injury, 40 patients (42.55% ) developed pressure ulcer, setting as ulcer group, and the other 54 patients (57.45% ) without suffering pressure ulcer were set as non?ulcer group. The Braden score and GCS score of patients in ulcer group were obviously lower compared with non?ulcer group (t = 5.905 and 3.003, P < 0.001, P = 0.003). Spearman’s correlation analysis showed that the occurrence of pressure ulcer had significant negative correlation with Braden score and GCS score (r = - 0.543 and - 0.482, both P < 0.001). ROC curve analysis showed that thearea under the curve (AUC) assessed jointly by Braden score and GCS score for pressure ulcer occurrence was 0.847, with the sensitivity being 95.00% and the specificity being 77.41% . Conclusion The Braden scale and GCS have a high value of predicting pressure ulcer risk in patients with severe craniocerebral injury.