Epidemiological analysis and prevention strategies of hospitalized children with burns in a third-grade class-A hospital in Yinchuan city
XUE Xi-juan1MA Hui-zhen2YAO Miao2LIU Xiao-hui
1.School of Nursing,Ningxia Medical University,Ningxia Hui Autonomous Region,Yinchuan 750004,China;
2.Department of Orthopedics Surgery,General Hospital of Ningxia Medical University,Ningxia Hui Autonomous Region,Yinchuan 750004,China
Abstract:Objective To summarize the epidemiological characteristics of hospitalized children with burns in Ningxia,analyze the main causes of children′s burns and their influencing factors,and formulate the prevention strategies for children with burns.Methods A retrospective survey was conducted to analyze the medical records of hospitalized children with burns in a third-grade class-A hospital from January 2011 to December 2017 in Yinchuan city of Ningxia.Results There were a total of 2551 hospitalized children with burns from 2011 to 2017,including 1548 males and 1003 females.The male to female ratio was about 1.54 to 1.83.9%children were≤3 years old,8.3%were between>3 and 6 years old,and 7.8%were between >6 and 14 years old.Hydrothermal burns accounted for 86.5%of the total burns,and flame burns accounted for 6.6%.Burn rate was 29.1%in summer and 28.0%in spring.The rate of urban burns was 34.2%and that of rural burns was 65.8%.The improvement rate was 59.2%,the cure rate was 37.2%,and the mortality was 0.2%at discharge.There were statistically significant differences between male and female patients in burn types(χ2=12.667,P=0.027).There were statistically significant differences in burn types among Han,Hui and other ethnic minority children(χ2=4.082,P=0.944).There were statistically significant differences in the burn types among the three age groups(χ2=597.234,P<0.01).There were statistically significant differences in burn types among burn patients in 7 years(χ2=53.877,P=0.005).There were statistically significant differences in burn types on seasonal distribution (χ2=44.618,P<0.01).Conclusion Among the children with burns,most of them are male,and the proportion of infants aged≤3 is the highest.The hydrothermal burn is the main cause of burn injuries.The proportion of rural children is higher than that of urban children.Summer is the highoccurrence season for the burns,followed by spring.
薛喜娟;马惠珍;姚苗;刘晓慧. 银川市某三甲医院烧伤住院儿童流行病学分析及其预防策略[J]. 中国当代医药, 2019, 26(6): 12-15.
XUE Xi-juan1MA Hui-zhen2YAO Miao2LIU Xiao-hui. Epidemiological analysis and prevention strategies of hospitalized children with burns in a third-grade class-A hospital in Yinchuan city. 中国当代医药, 2019, 26(6): 12-15.
Gilbert AD,Rajha E,Khuri CE,et al.Epidemiology of burn patients presenting to a tertiary hospital emergency department in Lebanon[J].Burns,2018,44(1):218-225.
Amol D,Tiwari VK,Pankaj P,et al.Epidemiology of pediatric burns and future prevention strategies—a study of 475 patients from a high-volume burn center in North India[J].Burns Traum,2017,5(1):1-8.
[16]
莫壮凯.近5年儿童烧伤流行病学调查及预防对策[D].衡阳:南华大学,2013.
[17]
Sarma BP.Prevention of burns:13 years′experience in Northeastern India[J].Burns,2011,37(2):265-272.