Burns and Plastic Department, 205 Hospital,Guta Area, JinZhou, 121001 Liaoning, China.
Burns. 2011 May;37(3):513-20. doi: 10.1016/j.burns.2010.11.001. Epub 2010 Dec 22.
The aim of this study was to compare the epidemiological results of children with burns among different decades from 1970 to 2008.
The clinical data of all children with burns younger than 14 years admitted between 1970 and 2008 were compared among different decades using Statistical Package for Social Sciences (SPSS).
Of all patients with burns, children accounted for 28.6%, despite differences in different decades (18.7-31%). In all children with burns, greater than 80% were accounted by children with mild and moderate burns, and by scalds, in which greater than 80% was caused by hot water. The proportion of scald gradually increased from 60% in the 1970s to 88% in 21st century. The increase in the number in the infant group was the direct cause for the decline of the average age of children injured over time. The case fatality rate in all children with burns was 0.7%, despite significant differences in different decades.
Current prevention strategies should be aimed at the 'susceptible group', namely infants, scald injuries and hot water scald, in particular, according to the epidemiologic characteristics of this study. Prevention methods from government, mass media and schools to the family is a tremendous need for the further development of prevention of paediatric burns in the future.
本研究旨在比较 1970 年至 2008 年不同年代儿童烧伤的流行病学结果。
采用社会科学统计软件包(SPSS)比较 1970 年至 2008 年间不同年代所有 14 岁以下烧伤儿童的临床资料。
所有烧伤患者中,儿童占 28.6%,但不同年代有所差异(18.7%~31%)。所有烧伤儿童中,80%以上为轻、中度烧伤,80%以上为热水烫伤,其中 80%以上为热水烫伤。烫伤的比例从 70 年代的 60%逐渐上升到 21 世纪的 88%。婴儿组人数的增加是导致受伤儿童平均年龄随时间推移而下降的直接原因。所有烧伤儿童的病死率为 0.7%,但不同年代差异显著。
根据本研究的流行病学特征,目前的预防策略应针对“易感人群”,即婴儿、烫伤和热水烫伤,特别是要从政府、大众媒体和学校到家庭采取预防措施,这是未来儿童烧伤预防工作进一步发展的巨大需要。