摘要
目的调查老年慢性创面住院患者临床特征,并进行流行病学分析。方法选择2018年2月至2020年8月接诊的老年慢性创面患者198例进行回顾性分析。从单位信息管理系统中提取患者病历资料,收集性别、年龄、职业、创面类型、科室分布、治疗方式、临床转归、痊愈情况等资料。结果调查期间共有住院患者44162例,筛选出老年慢性创面住院患者198例,占同期住院患者的0.45%;其中男性123例(62.12%),女性75例(37.88%);年龄62~85岁,平均年龄(71.08±5.11)岁;创面类型以术后未愈创面(41.41%)、糖尿病性创面(22.73%)及创伤性创面(16.16%)最为常见。不同类型老年慢性创面住院患者性别分布差异无统计学意义(P>0.05)。不同类型老年慢性创面住院患者年龄分布差异有统计学意义(P<0.05),60~69岁以术后未愈创面及创伤性创面较常见,70~79岁患者以术后未愈创面及感染性创面更多,≥80岁以糖尿病性创面及术后未愈创面较常见。198例患者治疗后出院时有效188例,总有效率94.95%。不同科室治疗有效率差异无统计学意义(P>0.05),不同治疗方式总有效率差异有统计学意义(P<0.05),保守治疗有效率最低,仅为83.33%(P<0.05)。结论老年慢性创面住院患者男性多于女性,年龄普遍较大,创面主要以术后未愈创面、糖尿病性创面及创伤性创面为主,不同治疗方式对慢性创面的有效率差异较大,保守治疗有效率最低。
Objective To investigate the clinical characteristics and epidemiological analysis of elderly hospitalized patients with chronic wound surface.Methods The clinical data about 198 elderly patients with chronic wound surface who were treated in our hospital from February 2018 to August 2020 were retrospectively analyzed,which included patient’s gender and age,occupation,wound surface type,department distribution,treatment method,clinical outcome,recovery status,which were extracted from the information management system of hospital.Results A total of 44,162 hospitalized patients were enrolled in the study,of whom,there were 198 elderly patients with chronic wound surface,accounting for 0.45%,including 123 males(62.12%)and 75 females(37.88%),with age range being 62~85 years and average age being(71.08±5.11)years.And the most common types of wounds were unhealed wounds(41.41%),diabetic wounds(22.73%)and traumatic wounds(16.16%).There was no significant difference in the gender distribution in the patients with different types of chronic wound surface(P>0.05),however,there was significant difference in the age distribution in the patients with different types of chronic wound surface(P<0.05).The patients aged 60~69 had more unhealed wounds and traumatic wounds,and those aged 70~79 had more unhealed wounds and infectious wounds.After treatment,the btotal effective rate was 94.95%(188 cases/198 cases).There was no significant difference in total effective rate among different departments(P>0.05),but,there was significant difference in total effective rate in different treatment methods(P<0.05),in which,the effective rate of conservative treatment was the lowest(83.33%,P<0.05).Conclusion The male elderly patients with chronic wounds are more than female patients,who are generally older.The wounds are mainly unhealed wounds after operation,diabetic wounds and traumatic wounds.The effective rates of different treatment methods for chronic wounds are different,and the effective rate of conservative treatment is the lowes
作者
雷英
高华伟
刘鸿雁
李竺憬
LEI Ying;GAO Huawei;LIU Hongyan(Department of Burn Plastic Surgery and Cosmetic Surgery,Nanchong Central Hospital,Second Clinical Medical College,North Sichuan Medical College,Sichuan,Nanchong 637000,China)
出处
《河北医药》
CAS
2022年第11期1736-1738,1742,共4页
Hebei Medical Journal
关键词
老年
慢性创面
临床特征
流行病学
the elderly
chronic wound surface
clinical features
epidemiology
