不同侧卧角度对骶尾部组织压力性损伤影响的有限元分析
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1.天津市第五中心医院;2.天津医科大学护理学院基础护理学教研室

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A finite element analysis on the effects of different lateral lying angles on the sacrococcygeal tissue stress injury
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1.Tianjin Fifth Central Hospital;2.Department of Basic Nursing, School of Nursing, Tianjin Medical University

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    摘要:

    [目的]构建不同侧卧角度骶尾部三维有限元模型并进行力学分析,探讨预防深部压力性损伤的最佳侧卧翻身角度。 [方法]选取健康成年男性志愿者俯卧位骶尾部CT数据,构建0°、15°、30°、45°侧卧翻身角度下包含皮肤、皮下脂肪、肌肉组织、骨及支撑垫的三维有限元模型,对4种模型设定边界条件、施加载荷,分析骶尾部深部组织压力性损伤模型Von Mises应力、剪切应力及分布特征。[结果]不同侧卧翻身角度下,最大Von Mises应力和剪切应力均在骨骼与肌肉接触面,当侧卧翻身角度度由0°向30°之间增加时,最大Von Mises力由0.539Mpa降低到0.335Mpa,最大剪切应力由0.155MPa降低到0.062MPa。但当角度增加到45°时,两种应力分别增大到0.518MPa和0.087MPa。[结论]侧卧角度为30°时骶尾部深部组织所受Von Mises应力及剪切应力最小,建议采用30°侧卧翻身角度预防深部组织压力性损伤。

    Abstract:

    [Objective] To explore the best lateral lying and turning angle to prevent deep pressure injury by constructing a three-dimensional finite element model of sacrococcygeal tissue and carrying out mechanical analysis. [Methods ] CT data of sacrococcygeal region of healthy ———————————————————————— 作者简介:田园,主管护师,硕士在读,研究方向:护理学,(电话) 15022064403,(电子邮箱) tianyuan20230114@126.com *通讯作者:王春梅,(电话) 18002178512,(电子邮箱)cmwang8543@126.com adult male volunteers in prone position were selected to construct three-dimensional finite element models containing skin, subcutaneous fat, muscle tissue, bone and support pad at 0°, 15°, 30°, and 45° side-lying turning angles. Boundary conditions and loads were set on the four models. To analyze the Von Mises stress, shear stress and distribution characteristics of pressure injury model of sacrococcygeal deep tissue. [ Results] The maximum Von Mises stress and shear stress were all at the bone-muscle interface under different lateral lying and turning angles. When the turning angle was changed from 0° to 30°, the maximum Von Mises stress decreased from 0.539Mpa to 0.335Mpa, and the maximum shear stress decreased from 0.155MPa to 0.062MPa. However, when the angle increased to 45°, the two stresses increased to 0.518MPa and 0.087MPa, respectively. [Conclusions] The minimum stress was found when the turning Angle was 30°. It is recommended to use a 30° turning angle to prevent deep tissue injury.

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  • 收稿日期:2023-01-15
  • 最后修改日期:2023-01-15
  • 录用日期:2023-02-08
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