外周灌注指数联合序贯器官衰竭评分预测ICU患者急性皮肤衰竭的效果研究

doi:10.3761/j.issn.2096-7446.2025.10.003

摘要/Abstract

摘要：

目的探讨外周灌注指数联合序贯器官衰竭评分预测ICU患者急性皮肤衰竭的效果。方法采用便利抽样法选取2023年6月—7月山东省某三级甲等综合医院ICU收治的217例患者作为研究对象，按照是否发生急性皮肤衰竭分为皮肤衰竭组（n=50）和非皮肤衰竭组（n=167），通过比较两组资料，应用受试者工作特征（receiver operating characteristic，ROC）曲线下面积分析外周灌注指数联合序贯器官衰竭评分对急性皮肤衰竭的预测价值。结果 Pearson相关性分析结果显示，外周灌注指数与序贯器官衰竭评分呈显著负相关（r= -0.589，P<0.05），外周灌注指数联合序贯器官衰竭评分的ROC曲线下面积为0.948，灵敏度为0.898，特异度为0.905，约登指数为0.803。结论外周灌注指数联合序贯器官衰竭评分可以有效预测ICU患者急性皮肤衰竭的发生，可为临床医护人员早期监测并干预ICU患者皮肤衰竭提供借鉴。

关键词: ICU, 外周灌注指数, 序贯器官衰竭评分, 急性皮肤衰竭, 风险因素, 预测模型

Abstract:

Objective To investigate the effect of peripheral perfusion index combined with sequential organ failure score in predicting acute skin failure in ICU patients. Methods A total of 217 patients admitted to the ICU of a grade-Ⅲ Class A general hospital in Shandong Province from March 2023 to September 2023 were selected by convenience sampling method as the study objects. According to whether they had acute skin failure，they were divided into skin failure group（n=50） and non-skin failure group（n=167）.By comparing the data of the two groups，the area under receiver operating characteristic（ROC） curve was used to analyze the predictive value of peripheral perfusion index combined with sequential organ failure score in acute skin failure. Results Pearson correlation analysis showed that there was a significant negative correlation between peripheral perfusion index and sequential organ failure score（r=-0.589，P<0.05）. The area under ROC curve of peripheral perfusion index combined with sequential organ failure score was 0.948，sensitivity was 0.898，and specificity was 0.905. The Jorden index was 0.803. Conclusion The combination of peripheral perfusion index and sequential organ failure score can effectively predict the occurrence of acute skin failure in ICU patients，which can provide reference for clinical staff to monitor and intervene early in ICU patients with skin failure.

Key words: ICU, Peripheral Perfusion Index, Sequential Organ Failure Assessment, Acute Skin Failure, Prediction Model, Risk Factor

张建, 丁遥遥, 薛雪, 周蒙, 高祀龙, 刘琛琛, 史绪生. 外周灌注指数联合序贯器官衰竭评分预测ICU患者急性皮肤衰竭的效果研究[J]. 中华急危重症护理杂志, 2025, 6(10): 1169-1174.

ZHANG Jian, Ding Yaoyao, XUE Xue, ZHOU Meng, GAO Silong, LIU Chenchen, SHI Xusheng. Predictive value of peripheral perfusion index combined with sequential organ failure score for acute skin failure in ICU patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(10): 1169-1174.

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