Liu Yi
PLA Center of Burns and Plastic Surgery, Lanzhou General Hospital, Lanzhou Military Area Command, Lanzhou 730050, China.
Zhonghua Shao Shang Za Zhi. 2011 Feb;27(1):40-2.
To study the interaction between establishment of wound care center and development of discipline of burns and plastic surgery. The changes in number of outpatient, time for dressing change per patient, outpatient service income, number of inpatients and operations in our hospital were summarized and retrospectively analyzed before and after establishment of wound care center. The proportion of patients with chronic wounds and skin and soft tissue defects after trauma among all inpatients in the same term were investigated. Meanwhile, the development of discipline of burns and plastic surgery before and after establishment of wound care center was analyzed. Compared with those in the year before establishment of wound care center, outpatient number, time for dressing change per patient, outpatient service income, inpatient number, and amount of operations were all increased (with increase rate of 330%, 569%, 325%, 161%, and 173%, respectively) in the year after establishment of wound care center. The ratio of patients with chronic wounds and skin and soft tissue defects after trauma among all inpatients was respectively increased from 4.3% and 4.5% in the year before establishment of wound care center to 9.2% and 12.4% in the year after establishment of wound care center. Patient satisfaction, bed utilization rate, levels of wound treatment and repair were all improved after establishment of wound care center. So we come to conclusions as follows. Establishment of wound care center can promote development of the standard of burns and plastic surgery. Comprehensive use of multidisciplinary theories and techniques concerning burns, plastic and aesthetic surgery, medical aesthetics, etc. can be beneficial for improvement of quality of wound healing and achievement of cosmetic effect, and wound care center may be further developed.
探讨伤口护理中心的建立与烧伤整形外科学科发展之间的相互作用。总结并回顾性分析我院伤口护理中心建立前后门诊量、患者换药时间、门诊服务收入、住院患者数量及手术量的变化情况。调查同期所有住院患者中慢性伤口及创伤后皮肤软组织缺损患者的比例。同时，分析伤口护理中心建立前后烧伤整形外科学科的发展情况。与伤口护理中心建立前一年相比，建立后一年门诊量、患者换药时间、门诊服务收入、住院患者数量及手术量均有所增加（增长率分别为330%、569%、325%、161%和173%）。所有住院患者中慢性伤口及创伤后皮肤软组织缺损患者的比例分别从伤口护理中心建立前一年的4.3%和4.5%增至建立后一年的9.2%和12.4%。伤口护理中心建立后患者满意度、床位利用率、伤口治疗及修复水平均得到提高。由此得出以下结论。伤口护理中心的建立可促进烧伤整形外科学术水平的发展。综合运用烧伤、整形与美容外科、医学美学等多学科理论与技术，有利于提高伤口愈合质量及实现美容效果，伤口护理中心可进一步发展。
