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目的探索严重创伤患者临床指征与急性压疮发生的相关性．方法对连续住ＩＣＵ的严重创伤患者１３２例进行前瞻性观察。结果急性压疮发生率在胸、腹部创伤患者中较高，并且与创伤严重度评分相关；压疮组患者的心率、血氧饱和度和血糖值三项生理指标与无压疮组相比较有显著性差异（ｔ＝４．２４～９．８３，Ｐ＜０．０１）．结论严重创伤患者急性压疮发生率与创伤部位及创伤严重度相关。心率、血氧饱和度和血糖三项指标对评估创伤患者中急性压疮高危人群有重要意义。
Objective To explore the correlation between clinical indications and acute pressure ulcer in patients with severe trauma. Methods Thirty-two consecutive patients with severe traumatic ICU were prospectively observed. Results The incidence of acute pressure ulcer was higher in patients with chest and abdominal trauma and was related to the severity of trauma. The three physiological indexes of heart rate, oxygen saturation and blood glucose in pressure ulcer patients were compared with those without pressure ulcer Significant difference (t = 4.24 ~ 9.83, P <0.01). Conclusion The incidence of acute pressure ulcer in severe trauma patients is related to the location of trauma and the severity of trauma. Heart rate, oxygen saturation and blood glucose three indicators for the evaluation of trauma patients with acute pressure ulcer risk groups is important.