Chang Wen-Yuan, Liu Hung-Hui, Huang Dun-Wei, Chou Yu-Yu, Ou Kuang-Ling, Wang Chih-Hsin, Dai Niann-Tzyy, Tzeng Yuan-Sheng
Division of Plastic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Int Wound J. 2022 May;19(4):845-852. doi: 10.1111/iwj.13682. Epub 2021 Aug 27.
This was the first study to analyse patients who sustained severe self-induced burns from this common Asian practice. There is a need to raise public awareness and physician attention about the consequences of preventable burn injuries and the importance of first aid in patients with diabetic neuropathy. Retrospective data on 16 consecutive patients who had diabetes and neuropathy admitted to the plastic surgery ward at the Tri-Service General Hospital from January 1, 2015, to February 2, 2021 with burn injuries because of heat applications were collected and analysed for this study. Age, gender, season, first aid adequacy, comorbidity, interventions, total body surface area (TBSA), degree of burn, aetiology, length of stay (LOS), and status at discharge were reviewed. The mean age of the 16 patients was 65.13 years. The most common burn aetiology was contact (50%), followed by scald (37.5%) and radiation burns (12.5%). TBSA burn averaged ± standard deviation 1.54 ± 1.22. Seven patients (44%) had wound infections, and three patients underwent amputations. The average LOS was 28.2 days. Asian practice of heat application is the common aetiology of severe and preventable burn injuries. Education about neuropathy and the consequences of a burn injury should be provided to patients with diabetes.
这是第一项分析因这种常见的亚洲习俗而遭受严重自伤性烧伤患者的研究。有必要提高公众对可预防烧伤后果的认识以及医生对糖尿病神经病变患者急救重要性的关注。本研究收集并分析了2015年1月1日至2021年2月2日期间连续16例因热应用导致烧伤而入住三军总医院整形外科病房的糖尿病和神经病变患者的回顾性数据。对年龄、性别、季节、急救充分性、合并症、干预措施、全身表面积（TBSA）、烧伤程度、病因、住院时间（LOS）和出院时状况进行了回顾。16例患者的平均年龄为65.13岁。最常见的烧伤病因是接触性烧伤（50%），其次是烫伤（37.5%）和辐射烧伤（12.5%）。TBSA烧伤平均为±标准差1.54±1.22。7例患者（44%）发生伤口感染，3例患者接受了截肢手术。平均住院时间为28.2天。亚洲的热应用习俗是严重且可预防烧伤的常见病因。应向糖尿病患者提供有关神经病变和烧伤后果的教育。
