2023年2月第30卷第2期·论著·（调查统计）重症监护室小儿先天性心脏病术后压力性损伤的影响因素分析刘巧红，王菲，杨晓慧（郑州大学附属儿童医院／河南省儿童医院／郑州儿童医院外科监护室，河南郑州450018）【摘要】目的分析重症监护室（ICU）小儿先天性心脏病术后压力性损伤（PI）的影响因素。方法选取2019年6月至2021年6月我院ICU收治的85例小儿先天性心脏病患儿，所有患儿均行手术治疗，统计患儿术后PI发生情况，并采用单因素和多因素Logistic回归分析探讨术后PI的影响因素。结果85例ICU小儿先天性心脏病患儿经手术治疗后21例发生PI，发生率为24．71％（21／85）。单因素分析显示，ICU小儿先天性心脏病患儿术后发生PI可能受营养状态、大小便失禁、通气方式、皮肤状态的影响（P＜0．05）；多因素Logistic回归分析显示，营养状态差、大小便失禁、机械通气、皮肤脱水干燥为ICU小儿先天性心脏病患儿术后发生PI的危险因素（P＜0．05）。结论ICU小儿先天性心脏病患儿术后PI的发生率较高，营养状态差、大小便失禁、机械通气、皮肤脱水干燥为主要危险因素。【关键词】先天性心脏病；术后压力性损伤；影响因素中图分类号：R541.1文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.02.0273AnalysisontheInfluencingFactorsofPostoperativePressureInjuryinChildrenwithCongenitalHeartDiseaseinIntensiveCareUnit//LIUQiaohong,WANGFei,YANGXiaohui(SurgicalIntensiveCareUnit,Children'sHospitalAffiliatedtoZhengzhouU-niversity/He'nanChildren'sHospital/ZhengzhouChildren'sHospital,Zhengzhou450018,China)[Abstract]ObjectiveToanalyzetheinfluencingfactorsofpostoperativepressureinjury(PI)inchildrenwithcongenitalheartdiseaseinintensivecareunit(ICU).Methods85childrenwithcongenitalheartdiseaseadmittedtoICUofourhospitalfromJune2019toJune2021wereselected.Allchildrenunderwentsurgicaltreatment.TheoccurrenceofpostoperativePIwascounted,andunivariateanalysisandmultivariateLogisticregressionanalysiswereusedtoexploretheinfluencingfactorsofpostoperativePI.ResultsPIoccurredin21of85childrenwithcongenitalheartdiseaseinICUaftersurgicaltreatment,withtheincidenceof24.71%(21/85).UnivariateanalysisshowedthattheoccurrenceofpostoperativePIinchildrenwithcongenitalheartdiseaseinICUmaybeaffectedbynutritionalst...
