汉化版Munro成人手术室压疮风险评估表在全身麻醉手术中的应用研究

CHINA MEDICINE AND PHARMACY Vol.9 No.5 March 2019

153

2019年3月第9卷第5期

·临床研究·

汉化版Munro成人手术室压疮风险评估表

在全身麻醉手术中的应用研究

洪佳莹 吴 彦▲ 赵 洁

厦门大学附属第一医院手术室，福建厦门 361000

[摘要] 目的 分析全身麻醉手术中汉化版Munro 成人手术室压疮风险评估表的应用效果。 方法 2013年1月～2017年9月，在我院行全身麻醉手术的患者中选取522例，均采用自制量表、Braden 量表与汉化版Munro 成人手术室压疮风险评估表对其行压疮风险评估，对各量表评估的阴性预测值、阳性预测值、特异度以及灵敏度进行计算。 结果 522例患者中，有70例患者出现急性压疮，构成比为13.4%，Ⅱ期压疮患者共有2例，Ⅰ期压疮患者共有520例；自制量表以及Braden 量表术前具有较低特异度、较高灵敏度，汉化版Munro 成人手术室压疮风险评估表术前具有较高特异度，较低敏感度；汉化版Munro 成人手术室压疮风险评估表在术前以及术后的特异度与灵敏度处于较为均衡的状态，整体上要优于自制量表与Braden 量表。 结论 全身麻醉手术中汉化版Munro 成人手术室压疮风险评估表的应用效果理想，可推广。

[关键词] 全身麻醉；汉化版Munro 成人手术室压疮风险评估表；Braden 量表；阴性预测值；阳性预测值；特异度；灵敏度

[中图分类号] R472.3 [文献标识码] A [文章编号] 2095-0616（2019）05-153-03

Application of Chinese version Munro pressure ulcer risk

assessment table for adult operating room in general anesthesia surgery

HONG Jiaying WU Yan ZHAO Jie

Operation Room,the First Affiliated Hospital of Xiamen University,Xiamen 361000,China

[Abstract] Objective To analyze the effect of Chinese version Munro pressure ulcer risk assessment table for adult operating room in general anesthesia surgery. Methods 522 patients who underwent general anesthesia surgery in our hospital from January 2013 to September 2017 were assessed with self-made scale,Braden scale and Munro adult operating room pressure ulcer risk assessment scale.The negative predictive value,positive predictive value,specificity and sensitivity of each scale were calculated. Results Among the 522 patients,70 patients had acute pressure ulcer (13.4%);There were 2 patients with stage Ⅱ pressure ulcer and 520 patients with stage Ⅰ pressure ulcer.The Chinese version Munro pressure ulcer risk assessment tablefor adult operating room was in a more balanced state of specificity and sensitivity before and after surgery,and was superior to the self-made scale and Braden scale as a whole. Conclusion The Chinese version Munro pressure ulcer risk assessment table for adult operating room in general anesthesia surgery is effective and can be popularized.

[Key words] General anesthesia;Chinese version Munro pressure ulcer risk assessment table;Braden scale;Negative predictive value;Positive predictive value;Specificity;Sensitivity

[基金项目] 厦门大学附属第一医院院内青年科研发展基金（XYY2016025）。

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通讯作者

手术压疮进行有效预防，其关键在于进行全面、正确的评估[1]。现阶段，临床上尚未出现用来评估手术压疮信效度较高的风险评估量表，并且不同医院的手术压疮风险评估量表也存在较大差异，未形成一个统一标准，这会对手术压疮风险的评估与防护产生严重影响[2-3]。本研究主要针对自制量表、

Braden 量表与汉化版Munro 成人手术室压疮风险评估表在全身麻醉手术中的压疮风险评估效果进行对比分析，现报道如下。1 资料与方法1.1 一般资料

选取2013年1月～2017年9月我院接受行全身麻醉手术的患者522例，男296例，女226例，平均年龄（42.0±5.1）岁。所有患者均在自愿情况下签署知情同意书，且本研究获得医院伦理委员会