一种新型水囊在Stanford A型主动脉夹层患者手术中对患者臀部压力性损伤的应用

Application of a Novel Water Cushion in Preventing Buttock Pressure Injury in Patients Undergoing Surgery for Stanford Type A Aortic Dissection

摘要: 目的：探讨一种自制新型水囊应用于患者臀部下方在Stanford A型主动脉夹层中对患者术后臀部发生压力性损伤的预防作用。方法：选取我院2022年5月至2024年7月在我院行Stanford A型主动脉夹层手术的患者为研究对象，共88例。其中42例患者使用新型水囊作为实验组，46例使用传统的管理方法作为对照组，来评估新型水囊对臀部压力性损伤发生的影响。结果：两组患者的基线数据没有明显差异，试验组的患者术后臀部皮肤发生压力性损伤的发生率低于对照组，且获得了良好的满意度。结论：对于Stanford A型主动脉夹层患者在术中使用自制新型水囊垫于患者臀部下方可对其发生压力性损伤起预防作用。

Abstract: Objective: To investigate the preventive effect of a self-designed new water cushion placed under the patient’s buttocks on postoperative pressure injuries in the buttocks of patients undergoing Stanford type A aortic dissection. Methods: A total of 88 patients who underwent Stanford type A aortic dissection surgery in our hospital from May 2022 to July 2024 were selected as research subjects. Among them, 42 patients used the new water cushion (experimental group), and 46 patients received conventional management (control group). We evaluated the influence of this new water cushion on the occurrence of pressure injuries in the buttocks. Results: There was no significant difference in baseline data between the two groups. The incidence of postoperative buttock pressure injuries was lower in the experimental group than in the control group, and patient satisfaction was high. Conclusion: For patients undergoing Stanford type A aortic dissection, placing a self-designed new water cushion under the buttocks during surgery can help prevent pressure injuries.