Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Burns. 2013 May;39(3):389-94. doi: 10.1016/j.burns.2012.04.012. Epub 2012 Jun 4.
This study analysed the epidemiology of burns in the elderly in Sichuan Province, China, with the objective of formulating a prevention programme.
A retrospective review of elderly patients admitted to the Burn Centre of West China Hospital during 2003-2009 was performed, including patient demographics, education and burn aetiology.
A total of 103 patients, mean age 69.5 years (range 60-95 years; 58 male, 45 female) were admitted. The most common causes of burn were flames (51.5%), scalding (37.9%), electrical (4.9%) and chemical (2.9%), respectively. The majority occurred at home (68.9%), principally in the kitchen (35.9%), while 19.4% occurred in the workplace. Burns with total body surface area (TBSA) of 0-10% accounted for 52.5% of those admitted for treatment; 10-30% TBSA burns accounted for 20.3%; 30-50% TBSA burns accounted for 15.5%; and burns with a TBSA >50% accounted for 11.7%. Only 6% of patients received appropriate first aid, and 32% did not receive treatment until more than 24h after injury. The education level was lower in the rural group. Both urban and rural groups had little knowledge of first aid for burns.
Burn-prevention programmes should promote improved living conditions and medical insurance, with prevention education for the elderly, especially in rural areas.
本研究分析了中国四川省老年人烧伤的流行病学情况，旨在制定预防计划。
对 2003-2009 年期间华西医院烧伤中心收治的老年患者进行回顾性分析，包括患者人口统计学、教育程度和烧伤病因。
共收治 103 例患者，平均年龄 69.5 岁（范围 60-95 岁；58 例男性，45 例女性）。最常见的烧伤原因分别是火焰（51.5%）、烫伤（37.9%）、电伤（4.9%）和化学伤（2.9%）。大多数烧伤发生在家庭（68.9%），主要在厨房（35.9%），而 19.4%发生在工作场所。烧伤总面积（TBSA）为 0-10%的患者占接受治疗的患者的 52.5%；10-30% TBSA 烧伤占 20.3%；30-50% TBSA 烧伤占 15.5%；TBSA>50%的烧伤占 11.7%。仅有 6%的患者接受了适当的急救，32%的患者在受伤后 24 小时以上才接受治疗。农村组的教育程度较低。城市和农村组对烧伤急救知识的了解都较少。
烧伤预防计划应促进改善生活条件和医疗保险，对老年人，特别是农村地区进行预防教育。
