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目的:探讨危重患者的体质量测量方法。方法:先将50例患者同一体重计称量,并记录体质量结果,然后同一人用皮尺测量患者足前掌宽,根据文献报道的计算方法,计算出患者的体质量,将称量体质量和计算值进行比较。再选择四肢健全的危重病患者63例,随机分为2组,一组按传统方法放患者于轮椅中固定称重后移患者回病床,称量轮椅重量,前后两次称量差为患者体质量(减量称组),另一组(测量组)采用用皮尺测量患者同一侧足前掌宽及足长,然后根据文献报道的方法计算出患者的体质量,将称量体质量和计算值进行比较。结果:两种体质量测量方法测量的体质量数据差异无显著性;危重患者中减量称组与测量组比较体质量都无统计学显著性意义。结论:我们可以通过测量患者足前掌宽能计算出较为准确的体质量,并为我们在临床实践中测量危重病或不能走动的患者体质量提供新的途径并保证用药的安全性。
Objective: To explore the measurement of body mass in critically ill patients. Methods: 50 patients with the same weight scale weighing, and record the results of body mass, and then measure the same person with a foot before the palm of the foot width, according to the literature calculation method to calculate the patient’s body weight, will weigh the body weight Compare with calculated value. A total of 63 critically ill patients with limbs were selected and randomly divided into two groups. One group was transferred to the hospital bed by weighing the wheelchair with a fixed weight, and the weight of the wheelchair was weighed. The weight difference between the front and the back was twice that of the patient The other group (measurement group) used a tape measure to measure the width and foot length of the foot on the same side of the foot, and then calculated the body mass of the patient according to the method reported in the literature, and weighed the body mass and calculated Value to compare. Results: There was no significant difference in the body mass data measured by the two body mass measurement methods. There was no statistically significant difference between the weight reduction group and the measurement group in the critically ill patients. CONCLUSIONS: We can calculate more accurate body mass by measuring the patient’s forefoot width and provide a new avenue for us to measure the body mass of critically ill or non-ambulatory patients in clinical practice and to ensure the safety of the medication.