CAJ | 학술논문

目的分析海南省烧伤住院患者的流行病学特征.方法收集并分析海南省6家烧伤救治单位2002年1月-2009年12月6099例烧伤住院患者的病历资料,包括性别、年龄、致伤原因、致伤部位、烧伤总面积、入院前合并症或并发症、入院时间、住院时间、病死率、住院患者数与入院当月平均气温及入院月份的关系、参加医疗保险情况.采用SPSS 13.0统计软件处理数据.结果患者中男女比例为2.1∶1.0,13岁以下患儿的数量最多(57 2％,3488/6099).热液烫伤(71 5％,4358/6099)和火焰烧伤(17 9％,1092/6099)为主要的致伤原因.患者以多个部位烧伤为主,占60.7％ (3705/6099);单个致伤部位以下肢烧伤常见,占17.1％ (1042/6099).烧伤总面积小于或等于10％ TBSA者占67.4％ (4108/6099),烧伤总面积超过50％ TBSA者仅占2.0％ (121/6099).703例患者入院前存在并发症或合并症,占11.5％,其中60岁以上老年患者发生率最高(18 5％,48/260),小于1岁的患儿发生率最低(8 0％,32/398).患者入院时间为伤后10 min ～90 d,住院时间为1～375 d,26例在住院期间死亡占0 4％.月平均气温较高时(6～8月)19～59岁烧伤住院患者增多,小于或等于13岁烧伤住院患儿数量无明显季节性变化.2002-2005年烧伤住院患者中参加医疗保险者占10.9％ (66/603) ～ 19.5％( 121/619),2007-2009年该比例升至46.0％ (372/808)～79.1％(869/1098).结论海南省烧伤住院患者以热液烫伤为主；高气温月份中青年烧伤患者住院数增多,烧伤患儿住院数无明显季节性变化；住院患者数与其中参加医疗保险患者数均呈逐年增加趋势.
목적 분석해남성소상주원환자적류행병학특정.방법 수집병분석해남성6가소상구치단위2002년1월-2009년12월6099례소상주원환자적병력자료,포괄성별、년령、치상원인、치상부위、소상총면적、입원전합병증혹병발증、입원시간、주원시간、병사솔、주원환자수여입원당월평균기온급입원월빈적관계、삼가의료보험정황.채용SPSS 13.0통계연건처리수거.결과 환자중남녀비례위2.1∶1.0,13세이하환인적수량최다(57 2％,3488/6099).열액탕상(71 5％,4358/6099)화화염소상(17 9％,1092/6099)위주요적치상원인.환자이다개부위소상위주,점60.7％ (3705/6099);단개치상부위이하지소상상견,점17.1％ (1042/6099).소상총면적소우혹등우10％ TBSA자점67.4％ (4108/6099),소상총면적초과50％ TBSA자부점2.0％ (121/6099).703례환자입원전존재병발증혹합병증,점11.5％,기중60세이상노년환자발생솔최고(18 5％,48/260),소우1세적환인발생솔최저(8 0％,32/398).환자입원시간위상후10 min ～90 d,주원시간위1～375 d,26례재주원기간사망점0 4％.월평균기온교고시(6～8월)19～59세소상주원환자증다,소우혹등우13세소상주원환인수량무명현계절성변화.2002-2005년소상주원환자중삼가의료보험자점10.9％ (66/603) ～ 19.5％( 121/619),2007-2009년해비례승지46.0％ (372/808)～79.1％(869/1098).결론 해남성소상주원환자이열액탕상위주；고기온월빈중청년소상환자주원수증다,소상환인주원수무명현계절성변화；주원환자수여기중삼가의료보험환자수균정축년증가추세.
Objective To analyze epidemiological characteristics of burn inpatients in Hainan province over 8 years.Methods Six thousand and ninety-nine burn patients admitted to 6 hospitals of Hainan province from January 2002 to December 2009 were enrolled in the study.The clinical data of these patients were analyzed retrospectively,including age,gender,injury cause,wound position,burn area,ailment prior to admission,admission time,medical insurance,length of hospital stay,and mortality rate,relationship among inpatient distribution,admission time,and ambient temperature at the time of admission.Data were processed with SPSS 13.0 software.Results There were more burn male patients than female,with ratio of 2.1∶ 1.0.Most patients were younger than 13 years (57.2％,3488/6099).The most common burn area was smaller than or equal to 10％ TBSA (67.4％,4108/6099),and the fewest patients had burn areas of over 50％ TBSA (2.0％,121/6099).The main causative agents were hot liquid and flame,accounting for 71.5％ (4358/6099),17.9％ (1092/6099),respectively.Most patients had injuries of more than two body areas (60.7％,3705/6099),and lower extremity injury ( 17.1％,1042/6099) was predominant in wound of singIe body area.Among 703 cases who had other ailments prior to admission ( 1 1.5％ ),the highest rate of prior ailments was found in patients older than 60 years ( 18.5％,48/260),it was lowest in children younger than 1 year (8.0％,32/398).The length of hospital stay was 1 to 375 day,and the admission time was 10 minutes to 90 days after burn.Total mortality rate was 0.4％ (26 cases).The number of inpatients aged from 19 to 59 was obviously higher in months with high ambient temperature ( from June to August),and for inpatients younger than 13 years the incidence of burn injury showed no obvious seasonal change.The inpatients who had medical insurance accounted for 10.9％ (66/603) to 19.5％ (121/619)from 2002 to 2005,which increased to 46.0％ (372/808) in 2007 and 79.1％ (869/1098) in 2009.Conclusions For burn inpatients in Hainan province,the main injury cause of burn injury is hot liquid,the number of burn adults aged from 19 to 59 seems to increase in months with high ambient temperature,while the incidence of burn in children showed no obvious seasonal change.The number of inpatients and those with medical insurance showed a tendency of increase from 2005 to 2009 in Hainan province.