2013-2017年安徽某医院1737例小儿烧伤的预后及影响因素分析  

Analysis of prognosis and influencing factors of 1 737 cases of pediatric burns in a hospital of Anhui from 2013 to 2017

作　　者：蒋薇 孟承颖 蒋智永 段声梁 王欢[1] 余又新[1] 孙业祥[1] 胡德林[1] JIANG Wei;MENG Cheng-ying;JIANG Zhi-yong;DUAN Sheng-liang;WANG Huan;YU You-xin;SUN Ye-xiang;HU De-lin(Department of Burn,the First Affiliated Hospital of Anhui Medical University,Hefei 230000,China)

机构地区：[1]安徽医科大学第一附属医院烧伤科

出　　处：《中华疾病控制杂志》2020年第1期114-117,共4页Chinese Journal of Disease Control & Prevention

基　　金：2015年度第二批安徽省自然科学基金项目(1508085SMH231);安徽省2018年度重点研究与开发计划项目(1804h08020230)~~

摘　　要：目的了解小儿烧伤的预后及影响治愈的危险因素。方法回顾性分析安徽医科大学第一附属医院烧伤科2013年1月至2017年12月1737例住院烧伤患儿的病历资料,总结其人口学特征、临床特征及影响预后的相关因素。结果Log-binominal回归分析模型显示,1~岁、3~岁相比于7~12岁的患儿治愈率更高(均有P<0.05);夏季烧伤(RR=0.861,95%CI:0.690~1.074)未愈率较冬季烧伤高;开水烫伤治愈率高于电击、火焰烧伤(均有P<0.05);相比于特重度烧伤,中度和重度烧伤的治愈率高(均有P<0.05);相比于伴随并发症的患儿,无并发症患儿的治愈率高(RR=4.58,95%CI:2.642~7.941,P<0.001),农村患儿(RR=0.713,95%CI:0.618~0.824)的未愈率较城市患儿高。结论小儿烧伤的治愈率为51.1%,影响治愈的主要危险因素是7~12岁、夏季烧伤、电击及火焰烧伤(包括化学烧伤)、特重度烧伤、伴随并发症及农村烧伤患儿。Objective To analyze the prognosis of pediatric burns and its influencing factors.Methods Clinical data of 1737 children with burns from January 2013 to December 2017 in the First Affiliated Hospital of Anhui Medical University was analyzed by retrospective method.The demographic,clinical features,and related factors affecting prognosis.Results Log-binominal regression model showed that the care rate was higher in children aged 1-and 3-compared with children aged 7-12(all P<0.05);Boiling water burns had a higher care rate than electric shock and flame burns(including chemical burn)(all P<0.05);Moderate and severe burns had a higher care rate than heavy severe burns(all P<0.05);The unhealed rate of pediatric burns in summer was higher than burned in winter(RR=0.861,95%CI:0.690-1.074);Children without complications had a higher care rate(P<0.05);Children lived in rural areas have a higher unhealed rate than lived in urban areas(RR=0.713,95%CI:0.618-0.824).Conclusions The care rate of pediatric burns was 51.1%.Major influencing factors included children aged 7-12,burned by electric and flame(including chemical burns),burned severe extraordinarily,burned in summer,and with complications,lived in rural.

关 键 词：小儿烧伤 预后 危险因素 

分 类 号：R181.2[医药卫生—流行病学]