【摘要】 目的分析湖南省某医院烧伤住院患儿病例特征,为有效防控儿童烧伤提供一定依据。方法收集2002年1月-2014年12月湖南省某医院收治的14岁及以下烧伤住院患儿的临床资料,采用描述性、单因素及多因素方法分析儿童烧伤的有关特征。结果 2002-2014年间共收治14岁及以下烧伤患儿1 003例,住院人数总体呈逐年上升趋势,其中热液烧伤患儿占烧伤总数的50. 3%;各烧伤类型的1～3岁患儿数占比高于其他年龄段患儿(χ2=59. 52,P<0. 001);热液烧伤以城市户口患者为主,其他烧伤类型以农村户口患者为主(χ2=50. 74,P <0. 001);电/化学烧伤的住院天数最长(H=10. 52,P=0. 033),热液烧伤住院费用最多(H=19. 18,P=0. 001)。城市户口(OR=0. 218,95%CI:0. 093～0. 508)、春季(OR=0. 235,95%CI:0. 083～0. 666)、夏季(OR=0. 273,95%CI:0. 103～0. 719)和秋季(OR=0. 203,95%CI:0. 055～0. 748)不易发生火焰烧伤,城市户口儿童不易发生电/化学烧伤(OR=0. 188,95%CI:0. 100～0. 356),秋季(OR=4. 396,95%CI:1. 879～10. 285)易发生电/化学烧伤。结论湖南省某医院2002-2014年烧伤住院患儿以热液烧伤患儿为主,户口所在地和季节是不同烧伤类型发生的影响因素,应根据各烧伤类型的住院病例特征,针对高危人群和高发季节采取预防控制措施。更多还原

【Abstract】 Objective To analyze the characteristics of pediatric inpatients with burn in a hospital in Hunan Province,and to provide evidence for effectively preventing and controlling burn in children. Methods Medical records of pediatric burn inpatients aged 14 years and below were collected in a hospital in Hunan Province from January 2002 to December 2014,and then descriptive,univariate and multivariate analyses were performed to analyze the characteristics of pediatric burn. Results A total of1,003 burn children aged 14 years and below were hospitalized from 2002 to 2014. The number of pediatric burn inpatients showed an upward trend year by year,of which inpatients with hydrothermal burn accounted for 50.3% of the total number of burn cases.The proportions of inpatients aged 1-3 years in five types of burns were higher than those of other age groups( χ2= 59. 52,P <0. 001). Most of inpatients with hydrothermal burn were children with urban household registration,while the inpatients with other types of burns were mainly from rural area( χ2= 50.74,P<0.001). The hospitalization days of inpatients with electric or chemical burn were the longest( H = 10.52,P = 0.033). The hospitalization expenditure of hydrothermal burn was the most expensive( H =19.18,P = 0. 001). Flame burn was not common in children with urban household registration( OR = 0. 218,95% CI: 0. 093-0. 508),in spring( OR = 0.235,95% CI: 0. 083-0. 666),summer( OR = 0. 273,95% CI: 0. 103-0. 719) and autumn( OR =0. 203,95%CI: 0.055-0.748). Electric or chemical burn was not common in children with urban household registration( OR =0. 188,95%CI: 0.100-0.356),but electric or chemical burn was common in autumn( OR = 4.396,95%CI: 1.879-10.285).Conclusions Most of pediatric burn inpatients in this hospital in Hunan Province during 2002-2014 were children with hydrothermal burn,and household registration location and season were the factors influencing the occurrence of different types of burns.It is necessary to take the targeted prevention and control measures in high-risk population and high-occurrence seasons based on the characteristics of inpatients with different types of burns.更多还原