重庆医学2018，Vol.47Issue(10)：1336-1339,4.DOI:10.3969/j.issn.1671-8348.2018.10.011
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
Study on application of Munro adult operating room pressure ulcer risk assessment table in general anesthesia
摘要
Abstract
Objective To test the clinical validity of use of the Chinese version of Munro adult pressure ulcer risk-assessment scales (Munro scales),Braden scales,Qian Weiming operation pressure ulcer risk-assessment scales (self-designed scales) in the patients with general anesthesia surgery.Methods Three investigators respectively used the Munro scales,Braden scales and self-designed scales to conduct the pressure ulcer risk-assessment on 261 patients with general anesthesia surgery before operation,at the end of operation and at exiting from anesthesia recovery room.The sensitivity,specificity,positive predictive value and negative predictive value of each assessment tool were calculated.Results The best critical values of the Munro scales before operation,at the end of operation and at exiting from anesthesia recovery room were 8.0,24.5,28.5 points respectively;which of the Braden scale were 18.5,11.5,13.5 points respectively;which of self-made scale were 12.5,13.5,13.5 points respectively.The area under the ROC curve of the three different scales at the beginning of the operation above was 0.653,0.596,0.652.The area under the ROC curve of the three different scales at the end of the operation above was 0.872,0.548,0.792.The areas under the ROC curve of the three different scales before operation were 0.868,0.773 and 0.813 respectively.Conclusion The Chinese version of Munro scales is more suitable for the assessment of operative patient's pressure ulcer risk than the Braden scale and self-designed scales,but the preoperative risk assessment needs to be improved.关键词
Munro成人手术室压疮风险评估表/Braden量袁/钱维明手术压疮评估量表/压疮风险评估Key words
Munro adult pressure ulcer risk-assessment scales/Braden scales/Qian Weiming pressure ulcer risk-assessment scales/pressure ulcer risk assessment分类
医药卫生引用本文复制引用
童琍琍,赵梅,杨玉英,高春香,王愿愿,袁嫚嫚,赵洋洋..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[J].重庆医学,2018,47(10):1336-1339,4.基金项目
国家自然科学基金面上项目(81671471) （81671471）
安徽省高校自然科学研究项目重点项目(KJ2016A360). （KJ2016A360）
