儿童电烧伤10年回顾性分析  

10-year Retrospective Analysis of Electrical Burns in Children

作　　者：刘豫 王纪龙[1] 王天泉 董迎[1] 张睿群 张健[1] Liu Yu;Wang Jilong;Wang Tianquan(Tianjin Children’s Hospital,Tianjin,300134,China)

机构地区：[1]天津市儿童医院·天津大学儿童医院·天津市儿童出生缺陷防治重点实验室,天津300134

出　　处：《黑龙江医学》2024年第23期2842-2844,共3页Heilongjiang Medical Journal

基　　金：天津市医学重点学科(专科)建设项目资助(TJYXZDXK-040A)。

摘　　要：目的:通过分析10年来电烧伤住院患儿的受伤特点,进而为儿童电烧伤的治疗和预防采取相关措施。方法:回顾性分析2012年1月—2022年1月因电烧伤在天津市儿童医院住院的患儿病历资料。运用χ^(2)检验(或Fisher确切概率法)及Mann-Whitney U非参数检验进行分析。结果:纳入研究的180名患儿平均年龄(3.42±3.00)岁,平均住院时间(20.71±10.00)d,平均烧伤总面积(1.93±1.00)%。其中168例属于低压电烧伤(低压电烧伤组),12例属于高压电烧伤(高压电烧伤组)。152例受伤时发生在家中,其他地点有28例。共有20例患儿行截肢(指、趾)手术。两组患儿在烧伤总面积、住院时间方面比较,差异均有统计学意义(t=-4.236、-2.188,P<0.05)。结论:大多数小儿电烧伤患儿为学龄前儿童,大多数电烧伤是可以预防的,主要原因是儿童及监护人缺乏保护意识,应根据流行病学数据实施电烧伤预防计划。Objective:To retrospectively analyze the injury characteristics of children with electric burn in the past 10 years,so as to take relevant measures for the treatment and prevention of children with electric burn.Methods:The medical records of children due to electrical burn injuries from January 2012 to January 2022 were retrospectively analyzed.Chi-square test(or Fisher exact probability method)and Mann-Whitney U nonparametric test were used for data analysis.Results:The mean age of the 180 children included in the study was(3.42±3.00)years old,the mean hospital stay was(20.71±10.00)days,and the mean TBSA was(1.93±1.00)%.Among them,168 suffered low-voltage electrical burns and only 12 suffered high-voltage electrical burns.152 of the injuries occurred at home and 28 at other locations.A total of 20 children underwent amputation.There were statistical differences in age,TBSA and length of hospital stay between the two groups(t=-4.236、-2.188;P<0.05).Conclusion:Most of the mechanisms leading to electric burn injuries are easy to be prevented.The main reason is the lack of protection awareness of children and their guardians.Electrical burn prevention programmes should be implemented on the basis of these epidemiological data.

关 键 词：儿童 电烧伤 预防 

分 类 号：R644[医药卫生—外科学]