机构地区：[1]昆明医科大学第二附属医院烧伤研究所,云南昆明650032
出 处：《昆明医科大学学报》2023年第2期88-97,共10页Journal of Kunming Medical University
基 金：云南省卫生科技计划项目(2016NS269)。
摘 要：目的 通过对老年烧伤患者临床资料回顾性分析,为老年烧伤防治领域提供切实依据。方法 回顾性分析昆明医科大学第二附属医院2014年1月至2020年12月收治的符合入选标准的老年烧伤患者的病历资料,包括性别、年龄、慢性病、居住地点、致伤地点、院前急救创面处理方式、就医途径、致伤原因、发病季节、烧伤部位、烧伤面积、烧伤深度、烧伤严重程度、治疗方式、住院时间、临床转归、死亡患者分析、住院费用等情况。对数据行卡方拟合优度检验、χ^(2)检验、线性关联、Fisher确切概率检验、秩和检验、多因素Cox回归分析、多元线性回归分析。结果 (1)符合入选标准的患者共471例,随年份增长,老年患者占同期住院患者比例总体呈上升趋势(P <0.01)。男女比例为1.75∶1(300/171),男性明显多于女性(P <0.001);患者年龄分布为69(64,77)岁。总计247例(52.44%)患者合并慢性病,常见慢性病依次为高血压141例次(33.41%)、糖尿病71例次(16.82%)、陈旧性脑梗死51例次(12.09%)。(2)居于农村者显著多于城市,家中烧伤显著多于公共场所(P <0.05)。院前急救中有381例(80.89%)患者创面未经任何处理;经120救治仅34例;常见致伤原因为火焰烧伤274例(58.17%)、热液烫伤155例(32.91%)。7 a间入院人数最多的是冬季(168例,35.67%)和春季(130例,27.60%)。常见烧伤部位依次为下肢350例次(74.31%)、上肢230例次(48.83%)。烧伤总面积≤10%TBSA 272例(57.75%),其中合并Ⅲ度烧伤170例(占总人数的36.09%)。烧伤严重程度由多到少依次为中度234例(49.68%)、轻度102例(21.66%)、重度80例(16.99%)、特重度55例(11.68%)。(3)入组患者最终治愈好转288例(61.15%)、自动出院164例(34.82%)、死亡19例(4.03%)。年龄、烧伤总面积、Ⅲ度烧伤面积、吸入性损伤、伤后并发症、合并慢性病是影响老年患者死亡的独立危险因素(P <0.05)。住院时间11(5,22) d,住院费�Objective To provide a practical basis for the field of elderly burn injury prevention and treatment by retrospectively analyzing the clinical data of elderly burn patients. Methods We retrospectively analyse the medical records of elderly burn patients who met the inclusion criteria admitted to the Second Affiliated Hospital of Kunming Medical University(hereafter referred to as the author’s unit) from January 2014 to December 2020, including gender, age, chronic disease, place of residence, place of injury, prehospital emergency trauma treatment,route of medical treatment,cause of injury,season of onset,burn site,burn area,and depth of burn. The data were analyzed by cardinality fit to optimize the data. The data were subjected to chi-square goodness-of-fit test, c2 test, linear association, Fisher’ s exact probability test, rank sum test, one-way and multi-way Cox regression analysis,and multiple linear regression analysis. Results (1) A total of 471 patients met the inclusion criteria,there was an overall increasing trend of the proportion of elderly patients to inpatients in the same period with the increase of years( P < 0.01). The male to female ratio was 1.75∶1( 300/171),significantly more males than females(P < 0.001);the age distribution of patients was 69(64,77) years. In total,247 patients(52.44%) had combined chronic diseases,and the common chronic diseases were hypertension 141times(33.41%),diabetes mellitus 71 times(16.82%),old cerebral infarction 51 times(12.09%) in that order.(2)There were significantly more patients living in rural areas than in urban areas,and significantly more burns at home than in public places(all P < 0.05). There were 381(80.89%) patients with untreated wounds in the prehospital emergency;only 34 were treated by 120;the common causes of injury were flame burns 274(58.17%),hot liquid burns 155(32.91%) in that order. The most frequent seasons were winter(168 cases,35.67%) and spring(130cases,27.60%). The common burn sites were lower extremity 350 cases(74.31%) and uppe
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