CAJ | 학술논문

目的建立慢性创面数据库,并分析慢性创面患者的特征. 方法根据国际伤口愈合学会对体表慢性创面定义的标准,2013年1-10月共收集86例慢性创面患者,利用创面信息管理系统建立数据库,并针对不同慢性创面病因构成、年龄构成、伤口平均愈合时间及不同治疗方法伤口愈合时间等指标进行分析. 结果 (1)门诊患者中各类慢性创面的病因构成比差异有统计学意义(P＜0.05),前3位原因依次为外伤、静脉曲张和压疮,分别占29％、26％和19％;(2)不同原因引起的慢性创面患者的年龄构成比差异有统计学意义(P＜0.05);(3)各类慢性创面的愈合时间差异有统计学意义(P＜0.05),静脉和糖尿病创面愈合时间最长,平均愈合时间分别为116.36 d和88.48 d;(4)慢性创面患者使用新型敷料较使用传统敷料愈合时间短(P＜0.05).结论门诊创面患者中外伤、下肢静脉曲张和压疮较常见,慢性创面的病因学与年龄显著相关,新型敷料的使用可有效缩短慢性创面病程.
목적 건립만성창면수거고,병분석만성창면환자적특정. 방법 근거국제상구유합학회대체표만성창면정의적표준,2013년1-10월공수집86례만성창면환자,이용창면신식관리계통건립수거고,병침대불동만성창면병인구성、년령구성、상구평균유합시간급불동치료방법상구유합시간등지표진행분석. 결과 (1)문진환자중각류만성창면적병인구성비차이유통계학의의(P＜0.05),전3위원인의차위외상、정맥곡장화압창,분별점29％、26％화19％;(2)불동원인인기적만성창면환자적년령구성비차이유통계학의의(P＜0.05);(3)각류만성창면적유합시간차이유통계학의의(P＜0.05),정맥화당뇨병창면유합시간최장,평균유합시간분별위116.36 d화88.48 d;(4)만성창면환자사용신형부료교사용전통부료유합시간단(P＜0.05).결론 문진창면환자중외상、하지정맥곡장화압창교상견,만성창면적병인학여년령현저상관,신형부료적사용가유효축단만성창면병정.
Objective To constitute a database of chronic wounds for characterizing the patients with chronic wounds.Methods Based on the guideline of chronic wounds defined by international wound healing society,86 outpatients with chronic wounds were selected between January and October in 2013 to set up a wound database using the wound information management system.The parameters including etiology,age distribution,mean time of fracture healing and wound healing time posterior to different treatments were analyzed.Results (1) Statistical difference existed for cause distribution (P ＜0.05).Top three causes were trauma (29％),varicosity (26％) and pressure sore (19％).(2) Age distribution varied significantly among the patients with various causes of chronic wounds (P ＜ 0.05).(3) Statistical difference was observed in healing time of various types of chronic wounds (P ＜ 0.05).Diabetic wound and varicose ulcer took the longest healing time,with average 116.36 days and 88.48 days respectively.(4) Patients treated with novel dressings had shorter healing time than those managed with traditional dressings (P ＜ 0.05).Conclusions Trauma,varicosity and pressure ulcer are relatively common among the outpatients.Etiology of chronic wounds is strongly related to age and novel dressings contributed to a shortened cause of the disorder.