海南省六家医院烧伤住院患者流行病学调查：八年回顾分析  

Epidemiological investigation of burn inpatients in 6 hospitals of Hainan province ： a retrospective analysis in 8 years

作　　者：潘云川[1] 黄惠民[1] 陈斐 陈建设[3] 胡勇 麦兴进 孙羽 全艺 梁尊鸿[1] 徐家钦[1] 王君[1] 

机构地区：[1]海南省人民医院烧伤与皮肤修复外科,海口570311 [2]农垦三亚医院烧伤科 [3]解放军第一八七医院烧伤科 [4]农垦那大医院外科 [5]五指山市人民医院外科 [6]琼海市人民医院外科

出　　处：《中华烧伤杂志》2011年第5期371-374,共4页Chinese Journal of Burns

基　　金：基金项目：海南省自然科学基金（808205）

摘　　要：目的分析海南省烧伤住院患者的流行病学特征。方法收集并分析海南省6家烧伤救冶单位2002年1月-2009年12月6099例烧伤住院患者的病历资料，包括性别、年龄、致伤原因、致伤部位、烧伤总面积、入院前合并症或并发症、入院时间、住院时间、病死率、住院患者数与入院当月平均气温及入院月份的关系、参加医疗保险情况。采用SPSS13．0统计软件处理数据。结果患者中男女比例为2．1：1．0，13岁以下患儿的数量最多（57．2％，3488／6099）。热液烫伤（71．5％，4358／6099）和火焰烧伤（17．9％，1092／6099）为主要的致伤原因。患者以多个部位烧伤为主，占60．7％（3705／6099）；单个致伤部位以下肢烧伤常见，占17．1％（1042／6099）。烧伤总面秘小于或等于10％TBSA者占67．4％（4108／6099），烧伤总面积超过50％’FBSA青仅占2．0％（121／6099）。703例患者入院前存在并发症或合并症，占11．5％，其中60岁以上老年患者发生率最高（18．5％，48／260），小于1岁的患儿发生率最低（8．0％，32／398）。患者入院时间为伤后10min～90d，住院时间为1-375d，26例在住院期间死亡占0．4％。月平均气温较高时（6～8月）19～59岁烧伤住院患者增多，小于或等于13岁烧伤住院患儿数量无明显季节性变化。2002--2005年烧伤住院患者中参加医疗保险者占10．9％（66／603）～19．5％（121／619），2007—2009年该比例升至46．0％（372／808）～79．1％（869／1098）。结论海南省烧伤住院患者以热液烫伤为主；高气温月份中青年烧伤患者住院数增多．烧伤患儿住院数无明显季节性变化；住院患者数与其中参加医疗保险患者数均呈逐年增加趋势。Objective To analyze epidemiologieal characteristics of burn inpatients in Hainan province aver 8 years. Methods Six thousand and ninety-nine burn patients admitted to 6 hospitals of Hainan province from January 2002 to December 2009 were enrolled in the study . The clinical data of these patients were analyzed retrospectively, including age, gender, injury cause, wouad position, burn area, aihnent prior to admission, admission time, medical insurance, length of hospital slay, and mortality rate, relationship among inpatient distribution, admission time, and ambient temperature at the time of admission. Dala were processed with SPSS 13.0 software. Results There were more burn male patients than female, with ratio of 2.1：1.0. Most patients were youngerthan 13 years （57.2%, 3488/6099）. The most common hurn area was smaller than or equal to 10% TBSA （67.4% , 4108/6099） , and the fewest patients had burn areas of over 50%TBSA （2.0%, 121/6099）. The main causative agenls were hot liquid and flame, accounting for 71.5% （4358/6099）, 17.9% （1092/6099）, respectively. Most patients had injuries of more than two body areas （ 60.7% , 3705/6099） , and lower extremity injury （ 17. 1% , 1042/6099） was predominant in wound of single body area. Among 703 cases who had other aihnents prior to admission （ 11.5% ） , the highest rate of prior aihnents was found in patients older than 60 years （ 18.5% , 48/260） , it was lowest in children younger than 1 year （8.0% , 32/398）. The length of hospital slay was 1 to 375 day, and the admission time was 10 minutes to 90 days after burn. Total mortality rate was 0.4% （26 cases）. The number of inpatients aged from 19 to 59 was obviously higher in months with high ambient temperature （ from June to August） , and for inpatients younger than 13 years the incidence of burn injury showed no obvious seasonal change. The inpatients who had medical insurance accounted for 10.9% （66/603） to 19.5% （121/619） from 2002 to 2005, which increased to

关 键 词：烧伤 流行病学 住院病人 海南 

分 类 号：R644[医药卫生—外科学] R181.3[医药卫生—临床医学]