摘要
目的 回顾性分析成都市小儿烧烫伤患者的特点及致伤因素,为减少小儿烧烫伤发生率提出对策建议。方法 共收集成都市某院2016年1月1日-2020年12月31日住院烧烫伤患者4621例的病例临床资料,其中<14岁的小儿烧烫伤患者1613例。运用描述性分析法掌握小儿烧烫伤的流行病学特征以及影响小儿烧烫伤转归的相关因素。结果 近5年来住院烧烫伤患者总体分布呈先增后减的趋势,以2018年和2019年的住院烧烫伤患儿占住院烧烫伤患者的比例最高,达70.88%;1613例小儿烧烫伤住院患儿中男性患儿903例,女性患儿710例,男女患儿比例约为1.27:1。同一年龄段男性烧烫伤患者例数始终高于女性,差异无统计学意义。1~3岁小儿出现烧烫伤事件最为多见,以热液烫伤为主,共1294例占78.85%,3岁以后烧烫伤占比逐渐下降,但7~14岁患儿以火焰伤及电击伤最为多见。烧烫伤最易受伤部位是头面颈和四肢,比较不同烧烫伤部位与烧烫伤原因之间差异存在统计学意义。结论 热液为小儿烧烫伤主要原因,多组独立样本的秩和检验分析影响小儿转归的主要因素包括患儿年龄、烧烫伤的原因、程度和面积。根据小儿烧烫伤住院特点,应以预防为主,加强安全教育,制定相应的防范措施,降低小儿烧烫伤发生率。
Objectives This study aims to retrospectively analyze the characteristics and injury factors of children with burns and scalds in Chengdu and put forward countermeasures and suggestions for reducing the incidence of children with burns and scalds.Methods Clinical data of 4621 hospitalized burn and scald patients from January 1,2016 to December 31,2020 were collected,including 1613 pediatric burn and scald patients<<14 years old.Descriptive analysis was used to grasp the epidemiological characteristics of children's burns and scalds and related factors affecting the outcome of children's burmns and scalds.Results In recent 5 years,the overall distribution of hospitalized burn and scald patients showed a trend of first increasing and then decreasing,and the proportion of hospitalized children with burn and scald in 2018 and 2019 was the most concentrated(70.88%in total).Among the 1613 hospitalized children with burns and scalds,903 were male and 710 were female,and the ratio of male to female was about 1.27:1.The number of burm patients in men in the same age group was always higher than that in women,.and the difference was not statistically significant.The incidence of burm and scald was most common in children aged.1-3 years,mainly thermal scald(1294 cases,78.85%).After the age of three,the proportion of burn and scald gradually decreased,but flame and electric shock were most common in children aged 7-14 years.The most vulnerable parts of burns were the head,face,neck and extremities Statistically significant differences existed between different burn sites and burn causes(x==83.576,P=0.004).Conclusion Hydrothermal solution is the main cause of burms and scalds in children.Rank--sum test of multiple independent samples showed that the main factors affecting the outcome of children included age,cause,degree,and area of burns and scalds.According to the characteristics of pediatric burn and scald hospitalization,Prevention should be the priority,safety education should be strengthened,and corresponding preventive
作者
任田
李平
郑寒芝
任媛媛
周磊
杨建南
Ren Tian;Li Ping;Zheng Hanzhi;Ren Yuanyuan;Zhou Lei;Yang Jiannan(College of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijjing 100029,China;不详)
出处
《中国病案》
2023年第3期67-70,共4页
Chinese Medical Record
基金
南充市社会科学研究“十三五”规划2020年度青年项目(NC2020C148)
四川省卫生经济学会科研课题(2021SCWJA024)。
关键词
小儿
烧烫伤
住院患者
回顾性分析
Children
Burns
Hospitalized patients
Retrospective analysis
