芜湖市某三甲医院住院烧伤患儿流行病学特征分析  

Analysis of epidemiological characteristics of hospitalized burn children in a Grade-A hospital in Wuhu City

作　　者：陈雷[1] 王帅[1] 王合丽[1] 孙银桥 邵倩倩 陶齐 吕大伦[1] Chen Lei;Wang Shuai;Wang Heli;Sun Yinqiao;Shao Qianqian;Tao Qi;Lyu Dalun(Department of Burns and Plastic Surgery, Yijishan Hospital of Wannan Medical College, Wuhu 241000, China)

机构地区：[1]皖南医学院弋矶山医院烧伤整形外科,芜湖241000

出　　处：《中华损伤与修复杂志（电子版）》2021年第4期310-315,共6页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

基　　金：2019年皖南医学院中青年科研基金(WK2019F25)。

摘　　要：目的通过对安徽省某三甲医院住院烧伤患儿病例特点回顾性研究,分析其流行病学特征,为制定有效预防措施提供理论依据。方法回顾性分析皖南医学院弋矶山医院烧伤整形外科2016年1月至2019年12月收治的375例≤14岁住院烧伤患儿病例资料,对其性别、年龄、烧伤时间(烧伤年份、季节)、烧伤地点、烧伤原因、烧伤部位、院前处理方式、伤后入院时间、烧伤面积、有无手术、住院时间、住院费用及影响因素进行统计分析。数据比较采用χ^(2)检验、Fisher确切概率法、t检验、多重线性回归分析。结果符合入选标准的住院烧伤患儿共375例,其中男231例(61.6%),女144例(38.4%),男女比例1.6∶1.0,烧伤患儿性别构成比比较差异有统计学意义(t=55.032,P<0.05)。患儿年龄主要集中于≥1岁且≤3岁(255例,占68.0%),不同年龄段住院烧伤患儿性别比较差异无统计学意义(χ^(2)=0.686,P=0.876)。2016年1月至2019年12月烧伤患儿数量分别为100例(26.7%)、106例(28.3%)、81例(21.6%)、88例(23.4%),随着年份的增长,烧伤患儿数量总体呈下降趋势,各年度烧伤患儿占比趋势比较差异无统计学意义(χ^(2)=4.104,P=0.250);本组烧伤患儿发生烧伤的季节以春季(3~5月)(105例,占28.0%)、秋季(9~11月)(100例,占26.7%)最为常见,夏季(6~8月)93例(24.8%)、冬季(12~2月)77例(20.5%),但不同季节患儿烧伤数量比较差异无统计学意义(χ^(2)=5.128,P=0.163)。烧伤地点主要发生于家中(352例,占93.9%),不同年龄段不同烧伤地点患儿数量比较差异有统计学意义(χ^(2)=48.519,P<0.05)。热液烫伤主要发生于家中(326例,占97.3%)、集中于≥1岁且≤3岁患儿(246例,占65.6%),不同烧伤地点烧伤患儿的烧伤原因及不同年龄段烧伤原因比较差异均有统计学意义(χ^(2)=65.387,P<0.05;Fisher=70.834,P<0.05)。热液烫伤部位常见于面颈部和胸部(162例,占43.20%),多数患儿伤后经冷水冲洗和医院清创包�Objective By retrospectively studying the characteristics of hospitalized burn children in a Grade-A hospital in Anhui Province,the epidemiological characteristics of hospitalized burn children were analyzed to provide theoretical basis for the formulation of effective preventive measures.Methods The medical records of 375 hospitalized burn children under≤14 years old admitted to the Department of Burns and Plastic Surgery,Yijishan Hospital of Wannan Medical College from January 2016 to December 2019 were retrospectively analyzed,and their gender,age,and burn time(burn year,burn season),place of burn,burn cause,burn location,pre-hospital treatment,post-injury hospitalization time,burn area,operation or not,length of stay,hospitalization expenses and influencing factors were statistically analyzed.Data were compared with chi-square test,Fisher test,t test and linear regression analysis.Results A total of 375 cases of hospitalized burn children who met the inclusion criteria were treated,including 231 males(61.6%)and 144 females(38.4%),and the ratio of male to female was 1.6∶1.0.There was statistically significant difference in the gender composition ratio of hospitalized burn children(t=55.032,P<0.05).The ages of children were mainly concentrated in children aged≥1 year and≤3 years(255 cases,accounting for 68.0%),and there was no statistically significant difference in gender comparison of children of different age groups(χ^(2)=0.686,P=0.876).From January 2016 to December 2019,the number of burn children was 100 cases(26.7%),106 cases(28.3%),81 cases(21.6%),and 88 cases(23.4%)respectively.With the growth of the year,the number of burn children showed an overall downward trend,and there was no statistically significant difference in the proportion of children with burns in each year(χ^(2)=4.104,P=0.250);the season for burns in this group of children with burns was spring(March to May)(105 cases,accounting for 28.0%),autumn(September to November)100 cases(26.7%),which were the most common,summer(June to Au

关 键 词：烧伤 儿童 流行病学 特征 住院 

分 类 号：R47[医药卫生—护理学]