1907例小儿烧伤情况分析
|
摘要
目的研究某院烧伤住院中心0岁~6岁小儿患者疾病特点,为小儿烧伤预防和治疗提供数据基础。方法对某院2013年8月-2016年8月出院的小儿烧伤患者的发生年龄、性别、烧伤原因、发病季节、住院时间、烧伤程度和转归等信息进行分类统计分析。结果共采集符合条件小儿烧伤病例1907例,其中男性1171例,女性736例,男性为女性的1.58倍,平均年龄为2.19±1.85岁,其中热水烫伤最为常见,有1369例,占71.79%;夏季(6月-8月)住院患者为1151人,平均住院天数为14.4±12.22天;小儿烧伤患者轻度烧伤有459人,占24.7%;中度烧伤有536人,占28.11%;重度烧伤有531人,占27.84%;特重烧伤381人,占19.98%。经过治疗1129例患儿可治愈出院,好转出院有622人,未愈出院或者死亡为101人。结论小儿烧伤男性发病显著高于女性;均以热液烫伤为主;夏季为高发季节;农村地区发生较城市高;病重患者多,致死率高。根据小儿烧伤特点可相应制定更好的防治措施减少疾病的发生,降低死亡率和住院周期,对家庭和社会有重大意义。
Objectives To study the characteristics of the pediatric burn of children between 0 to 6 years from 2013 and 2016 in our burn center,and provide data basis for prevention and treatment.Methods To conduct a classification statistical analysis on the information of pediatric burns cases from August 2013 to August 2016 such as age,sex,burn types,season,hospitalization period,clinical degree and outcome.Results The total eligible medical records of 1907 cases of pediatric burns were collected,in which there were 1171 cases of male,736 cases of female,male to female was 1.58 times,the average age was 2.19 ± 1.85 years old,hot water scald was the most common reason in the pediatric burn with 1369 cases,accounting for 71.79%;the average hospitalization days was 14.4± 12.22 days;1151 cases of 1907 hospitalized patients burned in summer(June to August);there were minor burns 459 cases(24.7%);Moderate burns 536 cases(28.11%);Severe burns 531 cases(27.84%);Heavy burns 381 cases(19.98) in this study;1129 cases of children can be cured and discharged,622 cases improved,uncured and death for 101 cases after treatment in the burn center.Conclusions The incidence of males were significantly higher than females,burn causes were mainly hydrothermal burns,summer was high-occurrence season,the rural areas were relatively higher than urban,with more seriously illness patients and higher death rate.We could develop better prevention,control measures and cure to reduce the happening of the disease according to the characteristics of pediatric burn,so as to reduce mortality and hospitalization period,which had great significance to the family and society.
Objectives To study the characteristics of the pediatric burn of children between 0 to 6 years from 2013 and 2016 in our burn center,and provide data basis for prevention and treatment.Methods To conduct a classification statistical analysis on the information of pediatric burns cases from August 2013 to August 2016 such as age,sex,burn types,season,hospitalization period,clinical degree and outcome.Results The total eligible medical records of 1907 cases of pediatric burns were collected,in which there were 1171 cases of male,736 cases of female,male to female was 1.58 times,the average age was 2.19 ± 1.85 years old,hot water scald was the most common reason in the pediatric burn with 1369 cases,accounting for 71.79%;the average hospitalization days was 14.4± 12.22 days;1151 cases of 1907 hospitalized patients burned in summer(June to August);there were minor burns 459 cases(24.7%);Moderate burns 536 cases(28.11%);Severe burns 531 cases(27.84%);Heavy burns 381 cases(19.98) in this study;1129 cases of children can be cured and discharged,622 cases improved,uncured and death for 101 cases after treatment in the burn center.Conclusions The incidence of males were significantly higher than females,burn causes were mainly hydrothermal burns,summer was high-occurrence season,the rural areas were relatively higher than urban,with more seriously illness patients and higher death rate.We could develop better prevention,control measures and cure to reduce the happening of the disease according to the characteristics of pediatric burn,so as to reduce mortality and hospitalization period,which had great significance to the family and society.
引文
[1]韩利坤,肖三麦.2537例烧伤患者统计分析[J].中国病案,2013,14(2):61-62.
[2]Cowan D,Ho B,Sykes K J,et al.Pediatric oral burns:a ten-year review of patient characteristics,etiologies and treatment outcomes[J].International Journal of Pediatric Otorhinolaryngology,2013,77(8):1325-1328.
[3]李勇,许瑾,章祥洲,等.1552例小儿烧伤流行病学特点分析[J].中华损伤与修复杂志电子版,2014,9(5):32-37.
[4]徐建洪,姚远,邱俊,等.2007年我国部队医院小儿烧伤住院患者信息分析[J].中国烧伤创疡杂志,2011,23(5):343-346.
[5]汤勇,王良喜,陈俊杰,等.多中心严重烧伤住院患儿流行病学调查分析[J].中华烧伤杂志,2016,32(10):599-605.
[6]许毅从,张秀来,兰美娟,等.基于路径分析模型的烧伤患者平均住院日影响因素分析[J].中国病案,2015,16(1):57-59.
[2]Cowan D,Ho B,Sykes K J,et al.Pediatric oral burns:a ten-year review of patient characteristics,etiologies and treatment outcomes[J].International Journal of Pediatric Otorhinolaryngology,2013,77(8):1325-1328.
[3]李勇,许瑾,章祥洲,等.1552例小儿烧伤流行病学特点分析[J].中华损伤与修复杂志电子版,2014,9(5):32-37.
[4]徐建洪,姚远,邱俊,等.2007年我国部队医院小儿烧伤住院患者信息分析[J].中国烧伤创疡杂志,2011,23(5):343-346.
[5]汤勇,王良喜,陈俊杰,等.多中心严重烧伤住院患儿流行病学调查分析[J].中华烧伤杂志,2016,32(10):599-605.
[6]许毅从,张秀来,兰美娟,等.基于路径分析模型的烧伤患者平均住院日影响因素分析[J].中国病案,2015,16(1):57-59.