烧伤对儿童伤残率和瘢痕率的影响分析  

Analysis on the effect of burns on disability rate and scar rate in children

作　　者：聂婵 王涛[1] 施尚鹏 邓呈亮[2] 石修权[1,3] 

机构地区：[1]遵义医学院公共卫生学院流行病与卫生统计学教研室,贵州遵义563006 [2]遵义医学院附属医院烧伤整形外科,贵州遵义563099 [3]美国俄亥俄州立大学医学院附属全国儿童医院研究所伤害与政策研究中心暨儿童创伤研究中心,俄亥俄哥伦布oh43205

出　　处：《河北医科大学学报》2018年第1期58-63,共6页Journal of Hebei Medical University

基　　金：国家自然科学基金(81560534);遵义医学院博士学位授权支撑学科建设专项经费(2015-996036)

摘　　要：目的综合评价近30年来国内外烧伤儿童的伤残率和瘢痕率情况,为阐明烧伤儿童的预后情况和针对性预防儿童烧伤提供基础数据。方法系统检索1990—2016年中国期刊全文数据库(CNKI)、万方、维普、Pubmed、Elsevier SD(Science Direct)电子期刊等数据库中有关烧伤儿童的伤残率或瘢痕率的文献,经纳入排除标准严格筛选,用Stata 12.0软件对所得数据进行Meta分析。结果共纳入40篇中英文文献,涵盖了13个国家的20 278例烧伤儿童,合并的烧伤儿童伤残率为3.01%、95CI=1.96%~4.67%,瘢痕率为13.49%、95CI=9.01%~19.74%。结论烧伤儿童的伤残率和瘢痕率较高,各国均应该采取针对性措施预防儿童烧伤,提高烧伤的救治水平,降低伤残率和瘢痕率,改善烧伤儿童的生存质量。Objective To evaluate the rates of disability and scar among burned children in China and abroad in about recent 30 years,and to provide a basic data for specific prevention of childhood burns.Methods Studies published from 1990 to 2016 which contained disability rate and scar rate about burned children were searched.The databases including CNKI,Wanfang,Weipu,Pubmed,Elsevier SD and so on were used.After strict selection by the inclusion and exclusion criteria,the rates of disability and scar were analyzed by Meta-analysis method using Stata software(Version 12.0).Results A total of 40 papers was included in this study;and the data covered 2 0278 cases of burned children from 13 countries.The pooled disability rate was3.01%,95 CI=9.01%-19.74%,and the pooled scar rate was 13.49%,95 CI=9.01%-19.74%.Conclusion The rates of disability and scar in burned children were high.Specific preventive measures should be taken and the treatment level should be improved to reduce the disability and scar rate and enhance burned children′s quality of life.

关 键 词：烧伤 残疾儿童 瘢痕 META分析 

分 类 号：R644[医药卫生—外科学]