目的 探讨头面部外科手术患者在手术中发生压力性损伤的影响因素及采取针对性的护理干预措施。方法 通过便利抽样，回顾性分析我院2018 年8-12 月神经外科、口腔颌面外科、耳鼻喉头颈外科行择期外科手术治疗166例患者围手术期压力性损伤相关因素，利用二元Logistic回归方程分析危险因素，探讨合理的护理措施。结果 166例研究对象中，术后皮肤出现压力性损伤6例（部位主要为髂骨、脚踝、骶尾部），压疮发生率为3.61%。术前血红蛋白、术前白蛋白、手术时间、出血量、受压点皮肤类型、术中施加的压力是影响头面部手术患者发生压力性损伤的影响因素，差异有统计学意义（P < 0.05）。结论 术前血红蛋白、白蛋白偏低、术前受压点皮肤类型、手术时间长、术中出血多的患者更容易出现压力性损伤，掌握头面部手术患者围术期的护理要点，有效预防及改善上述围术期状态，有针对性的采取护理措施，降低手术压力性损伤的发生率。

Objective To explore the influencing factors of pressure injury in patients undergoing craniofacialsurgery and take targeted nursing intervention measures. Methods Through convenience sampling，we retrospec⁃tively analyzed perioperative pressure injury related factors of 166 patientsfrom the neurosurgery，oral and maxillo⁃facial surgery，otohinolaryngology⁃head and neck surgery in our hospital from August to December 2018. and thelogistic multiple regression equation was used to analyze the risk factors and explore reasonable nursing measures.Results Among the 166 subjects，6 cases had postoperative skin pressure injuries（mainly affect the iliac bones，ankles，and sacrococcygeal），the incidence of pressure sore was 3.61%. Preoperative hemoglobin，preoperativealbumin，operative time，bleeding volume，pressure point skin type and the pressure applied during the operationare the influencing factors of the pressure injury in the craniofacial surgery patients，and the difference is statisticallysignificant（P < 0.05）. Conclusion Patients with low preoperative hemoglobin or albumin，preoperative pressurepoint skin type，long operative time，and excessive intraoperative bleeding volume are more likely to develop pres⁃sure injuries. Master the perioperative nursing points for patients undergoing craniofacial surgery to effectively pre⁃vent and improve the above⁃mentioned perioperative state，and take targeted nursing measures may reduce the inci⁃dence of surgical pressure injuries.