成都市某三甲医院2016年-2020年住院烧烫伤患者回顾性分析  

Retrospective Analysis of Inpatient Burns and Scalds in a Tertiary Hospital in Chengdu from 2016 to 2020

作　　者：任田 李平[2] 任媛媛 周磊 杨建南[5] Ren Tian;Li Ping;Ren Yuanyuan;Zhou Lei;Yang Jiannan(College of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;不详)

机构地区：[1]北京中医药大学中医学院,北京市100029 [2]成都市第二人民医院,四川省成都市610021 [3]重庆高等三峡医药专科学校,重庆市404100 [4]成都市第三人民医院,四川省成都市610014 [5]四川省成都大学附属医院,四川省成都市610081

出　　处：《中国病案》2023年第1期57-60,共4页Chinese Medical Record

基　　金：南充市社会科学研究“十三五”规划2020年度青年项目(NC2020C148)。

摘　　要：目的 回顾性分析某院住院烧烫伤患者的流行病学特征,为提高烧烫伤住院患者救治水平和预防意外事故发生提供参考依据。方法 收集该院2016年1月1日-2020年12月31日的住院烧烫伤患者病历资料。运用统计学分析方法分析患者的一般人口学资料、烧烫伤程度、烧烫伤面积等情况。结果 该院近5年收治的住院烧烫伤患者男性多于女性,平均年龄31.4岁;职业分布以工人所占比例最高(46.5%),其次为学生(36.8%);按季度比较在第三季度烧烫伤发生的构成比最高(27.85%);烧烫伤部位以下肢、头颈部和眼三个部位最易受伤;各年龄段烧烫伤患者支付方式以自费为主且自费比例均较高(χ^(2)=5.435,P=0.066)。本组研究还发现热力烧烫伤是主要致伤因素,在热力烧伤烫伤中又以热液烫伤为主(70.7%),其次为高温易燃物质(19.6%),爆炸伤(0.2%)。经统计学处理差异有统计学意义(χ^(2)=99.366,P<0.001)。单因素分析性别、年龄、住院天数、转归情况、烧烫伤原因、程度及面积均有统计学意义(P<0.05)。结论 Logistic回归分析发现年龄、烧烫伤原因、面积及程度都是影响病情转归的主要原因。应根据各烧烫住院患者的特征,加强对高危人群进行烧烫伤知识等宣传、教育和普及;对高危季节尤其是夏季,应积极采取预防措施,减少意外伤害的发生。Objectives This study aims to retrospectively analyze the epidemiological characteristics of inpatients with burn and scald in a hospital, so as to provide a reference for improving the treatment level of inpatients with burn and scald and preventing accidents.Methods The medical records of inpatients with burn and scald from January 1, 2016 to December 31, 2020 were collected. Statistical analysis was used to analyze the general demographic data, burn degree and burn area of the patients.Results In the past five years, more males than females have been admitted to the hospital for burns and scalds, with an average age of 31.4 years. Workers accounted for the highest proportion(46.5%), followed by students(36.8%). On a quarterly basis, the proportion of burn and scald occurrence was the highest in the third quarter(27.85%). Lower limbs, head and neck, and eyes were the most easily injured. The payment mode of burn and scald patients of all ages was mainly self-pay and the proportion of self-pay was higher(χ^(2)=5.435,P=0.066). In this study, thermal burns were found to be the main injury factor,and in thermal burns, hydrothermal burns were the main injury factor(70.7%), followed by high-temperature flammable substances(19.6%) and explosion injuries(0.2%). The difference was statistically significant(χ^(2)=99.366,P<0.001). Univariate analysis showed statistical significance in gender, age, length of stay,outcome, cause, degree, and area of burn and scald(P<0.05).Conclusions Logistic regression analysis showed that age, burn cause, area, and degree were the main factors affecting the outcome of the disease. The publicity,education, and popularization of burn knowledge among high-risk groups should be strengthened according to the characteristics of each burn inpatient. In high-risk seasons, especially in summer, preventive measures should be taken to reduce the occurrence of accidental injuries.

关 键 词：烧烫伤 流行病学分析 卡方检验 LOGISTIC分析 回顾性研究 

分 类 号：R644[医药卫生—外科学]