髋部骨折患者围手术期体温变化对医院获得性压疮的影响

摘要

Abstract：Objective To observe the current status of hospital acquired pressure ulcer (HAPU) in hip fracture patients, and to analyze the influences of perioperative temperature changes on occurrence and development of HAPU. Methods A total of 676 hip fracture patients meeting inclusion criteria were assigned to temperature change group (n=217) and temperature nonchange group (n=459) according to the degree of perioperative temperature changes. Pressure ulcer was observed in each group, and incidence of HAPU, time to ulcer occurrence, development of ulcer (degree of ulcer at the 5th day after occurrence) was compared between two groups. Results The incidence of HAPU was 1.78%. The average age of HAPU patient was (80.25±12.78). Incidence of HAPU was 2.30%(5/217)in temperature change group and was 1.53%(7/459) in temperature nonchange group, with no significant difference (P＞0.05). HAPU occurred at (1.80±1.10) days after surgery in temperature change group, and occurred at (5.71±3.99) days after surgery in temperature nonchange group, with a significant difference (P＜0.05). The degree of ulcer at the 5th day after occurrence was higher in the temperature change group (2.60±0.89) than that in the nontemperaturechange group (2.60 ± 0.89 vs. 1.29 ± 0.49, P＜0.05). Conclusion The stable perioperative temperature of hip fracture patients undergoing surgery may be associated with delayed occurrence and development of HAPU.