Maghsoudi Hemmat, Aghamohammadzadeh Naser, Khalili Nasim
Department of Surgery, Faculty of Medicine, University of Medical Sciences of Tabriz, Iran.
Int J Diabetes Dev Ctries. 2008 Jan;28(1):19-25. doi: 10.4103/0973-3930.41982.
Diabetic burn patients comprise a significant population in burn centers. The purpose of this study was to determine the demographic characteristics of diabetic burn patients.
Prospective data were collected on 94 diabetic burn patients between March 20, 2000 and March 20, 2006. Of 3062 burns patients, 94 (3.1%) had diabetes; these patients were compared with 2968 nondiabetic patients with burns. Statistical analysis was performed using the statistical analysis software SPSS 10.05. Differences between the two groups were evaluated using Student's t-test and the chi square test. P < 0.05 was considered as significant.
The major mechanism of injury for the diabetic patients was scalding and flame burns, as was also the case in the nondiabetic burn patients. The diabetic burn patients were significantly older, with a lower percentage of total burn surface area (TBSA) than the nondiabetic burn population. There was significant difference between the diabetic and nondiabetic patients in terms of frequency of infection. No difference in mortality rate between diabetic and nondiabetic burn patients was observed. The most common organism in diabetic and nondiabetic burn patients was methicillin-resistant staphylococcus. Increasing %TBSA burn and the presence of inhalation injury are significantly associated with increased mortality following burn injury.
Diabetics have a higher propensity for infection. Education for diabetic patients must include caution about potential burn mishaps and the complications that may ensue from burns.
糖尿病烧伤患者在烧伤中心占相当大的比例。本研究旨在确定糖尿病烧伤患者的人口统计学特征。
前瞻性收集了2000年3月20日至2006年3月20日期间94例糖尿病烧伤患者的数据。在3062例烧伤患者中，94例（3.1%）患有糖尿病；将这些患者与2968例非糖尿病烧伤患者进行比较。使用统计分析软件SPSS 10.05进行统计分析。两组间差异采用学生t检验和卡方检验进行评估。P<0.05被认为具有统计学意义。
糖尿病患者的主要致伤机制为烫伤和火焰烧伤，非糖尿病烧伤患者也是如此。糖尿病烧伤患者年龄显著较大，烧伤总面积（TBSA）百分比低于非糖尿病烧伤人群。糖尿病患者和非糖尿病患者在感染频率方面存在显著差异。未观察到糖尿病烧伤患者和非糖尿病烧伤患者死亡率的差异。糖尿病和非糖尿病烧伤患者中最常见的病原体是耐甲氧西林葡萄球菌。烧伤总面积百分比增加和存在吸入性损伤与烧伤后死亡率增加显著相关。
糖尿病患者感染倾向较高。对糖尿病患者的教育必须包括对潜在烧伤事故以及烧伤可能引发的并发症的谨慎提醒。
