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肯尼亚肯雅塔国家医院接诊的煤油炉爆炸烧伤的危险因素。

Risk factors for kerosene stove explosion burns seen at Kenyatta National Hospital in Kenya.

机构信息

Meru District Hospital, Kenya.

出版信息

Burns. 2013 May;39(3):501-6. doi: 10.1016/j.burns.2012.07.008. Epub 2012 Sep 19.

DOI:10.1016/j.burns.2012.07.008
PMID:22999210
Abstract

BACKGROUND

The kerosene stove is a common cooking appliance in lower and middle income households in Kenya and if it explodes, life threatening thermal burn injuries may be sustained by those using the appliance. Women tend to be victims more frequently since traditionally they are the ones who are involved in cooking.

OBJECTIVES

The aim of this study was to determine risk factors predisposing to kerosene stove explosion burns seen at Kenyatta National Hospital.

MATERIALS AND METHODS

The study was a prospective longitudinal descriptive study carried out at the Kenyatta National Hospital. Forty-eight patients who met the inclusion criteria were recruited into the study over a period of 6 months from November 2010 to April 2011 and the data was collected using a structured questionnaire. The analysis, using SPSS version 17.0 was done by associating occurrence of injury to: age, sex, socioeconomic status and level of education of patient. Charts and tables were used to present the results.

RESULTS

The mean age of patients who sustained kerosene stove explosion burns was 23.6 years (SD ± 11.7) with the commonest age group being 20-39 years. More females were affected than males by a ratio of 7:3 and ninety two percent of those who sustained these burns were either from poor or lower middle socio-economic class. Stove explosions occurred mainly during cooking and when kerosene refill was being done. Most of the patients (63%) reported having bought kerosene from fuel vendors and almost all explosions were caused by the wick type of stove (98%).

CONCLUSION

Young females from poor socioeconomic background were found to be at a higher risk for kerosene stove explosion burns. The wick stove is a common cause of burns especially when users unwittingly refill it with kerosene when already lit resulting in an explosion. Prevention can be done through evidence based public health education targeting the groups at risk and enactment of relevant laws.

摘要

背景

煤油炉是肯尼亚中下收入家庭中常见的烹饪用具,如果它爆炸,使用该用具的人可能会遭受危及生命的热烧伤。由于传统上做饭的人通常是女性,因此她们往往更容易成为受害者。

目的

本研究旨在确定在肯尼亚国家医院就诊的煤油炉爆炸烧伤的易患因素。

材料和方法

这是一项在肯尼亚国家医院进行的前瞻性纵向描述性研究。在 2010 年 11 月至 2011 年 4 月的 6 个月期间,根据纳入标准共招募了 48 名符合条件的患者,并使用结构化问卷收集数据。使用 SPSS 版本 17.0 进行分析,将损伤的发生与:年龄、性别、社会经济地位和患者的教育程度联系起来。图表用于呈现结果。

结果

遭受煤油炉爆炸烧伤的患者的平均年龄为 23.6 岁(SD ± 11.7),最常见的年龄组为 20-39 岁。女性比男性多,比例为 7:3,而这些烧伤患者中有 92%来自贫穷或中下社会经济阶层。炉爆炸主要发生在烹饪和加油时。大多数患者(63%)报告从燃料供应商处购买煤油,几乎所有爆炸都是由灯芯炉引起的(98%)。

结论

发现来自贫穷社会经济背景的年轻女性更容易发生煤油炉爆炸烧伤。当用户在点燃时不知不觉地重新填充煤油时,灯芯炉是造成烧伤的常见原因,特别是在这种情况下,会导致爆炸。可以通过针对高危人群的基于证据的公共卫生教育和颁布相关法律来进行预防。

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