摘要
目的建立慢性创面数据库，并分析慢性创面患者的特征。方法根据国际伤口愈合学会对体表慢性创面定义的标准，2013年1—10月共收集86例慢性创面患者，利用创面信息管理系统建立数据库，并针对不同慢性创面病因构成、年龄构成、伤12I平均愈合时间及不同治疗方法伤口愈合时间等指标进行分析。结果（1）门诊患者中各类慢性创面的病因构成比差异有统计学意义（P〈0．05），前3位原因依次为外伤、静脉曲张和压疮，分别占29％、26％和19％；（2）不同原因引起的慢性创面患者的年龄构成比差异有统计学意义（P〈0．05）；（3）各类慢性创面的愈合时间差异有统计学意义（P〈0．05），静脉和糖尿病创面愈合时间最长，平均愈合时间分别为116．36d和88．48d；（4）慢性创面患者使用新型敷料较使用传统敷料愈合时间短（P〈0．05）。结论门诊创面患者中外伤、下肢静脉曲张和压疮较常见，慢性创面的病因学与年龄显著相关，新型敷料的使用可有效缩短慢性创面病程。
Objective To constitute a database of chronic wounds for characterizing the patients with chronic wounds. Methods Based on the guideline of chronic wounds defined by international wound healing society, 86 outpatients with chronic wounds were selected between January and October in 2013 to set up a wound database using the wound information management system. The parameters inclu- ding etiology, age distribution, mean time of fracture healing and wound healing time posterior to different treatments were analyzed. Results （1） Statistical difference existed for cause distribution （P 〈 0. 05）. Top three causes were trauma （29%） , varicosity （26%） and pressure sore （ 19% ）. （2） Age distribution varied significantly among the patients with various causes of chronic wounds （ P 〈 O. 05 ）. （3） Statistical difference was observed in healing time of various types of chronic wounds （ P 〈 0.05 ）. Diabetic wound and varicose ulcer took the longest healing time, with average 116.36 days and 88.48 days respectively. （4） Patients treated with novel dressings had shorter healing time than those managed with traditional dressings （ P 〈 0.05 ）. Conclusions Trauma, varicosity and pressure ulcer are relatively common among the outpatients. Etiology of chronic wounds is strongly related to age and novel dressings contributed to a shortened cause of the disorder.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2014年第4期298-301,共4页
Chinese Journal of Trauma
基金
上海交通大学医学院干细胞与再生医学转化基地项目子课题资助项目（TS201109-1）
关键词
创伤和损伤
数据库
疾病特征
Wounds and injuries
Database
Disease attributes
