Wound Healing Unit, Trauma Center of Postgraduate Medical College, Chinese PLA General Hospital, Beijing, China.
Wound Repair Regen. 2011 Mar-Apr;19(2):181-8. doi: 10.1111/j.1524-475X.2010.00666.x.
Chronic cutaneous wounds represent a major health care burden in China. However, limited information exists regarding the epidemiologic changes associated with recent social and economic development. We designed a cross-sectional survey in 2,513 patients who underwent treatment of chronic cutaneous wounds from a nationally representative sample in 17 hospitals between 2007 and 2008. Results revealed the prevalence of chronic cutaneous wounds among hospitalized patients was 1.7‰. Patient ages ranged from 18 days to 96 years (median, 58 years). The highest ratios were among 40-60 and 60-80-year-old patients (31% and 38%, respectively). The leading causes of chronic cutaneous wounds were diabetes (31.3% men, 35.3% women) trauma (26.4% men, 19.2% women). Manual workers (38.5% men, 29.3% women) and retirees (27.9% men, 23.5% women) accounted for over half the chronic cutaneous wound patients. Regarding treatments, only 22.4% were treated with modern dressings or other novel technologies and more patients received antibiotics (77.8%). Treatment was paid for by the patients in 42.3% of cases, by social medical insurance in 25.0%, by commercial medical insurance in 4.8%, while 27.9% received free medical care. Approximately half the patients' wounds were completely healed at discharge (1,345/2,513). In conclusion, diabetes has recently become the leading cause of chronic cutaneous wounds in China. The large population and considerable financial burden mean that serious attention should be paid to the early detection, prevention and diagnosis of chronic cutaneous wounds, and suggest that an overall health insurance system should be established, especially for the elderly.
慢性皮肤创面在中国是一个重大的医疗保健负担。然而，关于与最近的社会和经济发展相关的流行病学变化的信息有限。我们在 2007 年至 2008 年间，从全国 17 家医院的一个具有代表性的样本中，对 2513 名接受慢性皮肤创面治疗的患者进行了横断面调查。结果显示，住院患者中慢性皮肤创面的患病率为 1.7‰。患者年龄从 18 天至 96 岁（中位数为 58 岁）。比例最高的是 40-60 岁和 60-80 岁的患者（分别为 31%和 38%）。慢性皮肤创面的主要原因是糖尿病（男性 31.3%，女性 35.3%）和创伤（男性 26.4%，女性 19.2%）。体力劳动者（男性 38.5%，女性 29.3%）和退休人员（男性 27.9%，女性 23.5%）占慢性皮肤创面患者的一半以上。关于治疗，只有 22.4%的患者接受了现代敷料或其他新技术治疗，更多的患者接受了抗生素治疗（77.8%）。在 42.3%的病例中，治疗费用由患者支付，25.0%由社会医疗保险支付，4.8%由商业医疗保险支付，而 27.9%的患者接受免费医疗。大约一半的患者的伤口在出院时完全愈合（2513 例中的 1345 例）。总之，糖尿病已成为中国慢性皮肤创面的主要原因。庞大的人口和相当大的经济负担意味着，应高度重视慢性皮肤创面的早期发现、预防和诊断，并建议建立一个全面的医疗保险制度，特别是针对老年人。
