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2017年6个月期间,沙希德·莫塔哈里医院烧伤后第一周血小板减少症的患病率及其与烧伤严重程度的关系

Prevalence of Thrombocytopenia in the First Week After Burn Injury and Its Relationship With Burn Severity in Shahid Motahari Hospital Over a Period of 6 Months in 2017.

作者信息

Salehi H, Moienian E, Rahbar A, Salehi S A H, Momeni M

机构信息

Shahid Motahari Burns Hospital, Iran University of Medical Sciences, Tehran, Iran.

Iran University of Medical Sciences, Tehran, Iran.

出版信息

Ann Burns Fire Disasters. 2023 Mar 31;36(1):29-39. eCollection 2023 Mar.

Abstract

A platelet count of less than 150,000 per microliter of blood is called thrombocytopenia. Platelet count monitoring is essential in the care of burn patients. The aim of this study was to evaluate platelet count in groups of patients with different percentage of burns on the body surface and its relationship with the severity of burns and mortality. This retrospective descriptive cross-sectional study was performed on patients admitted to Shahid Motahari Hospital over a period of six months. The study was conducted on burn patients who were admitted to the hospital on the first day after injury. Patients were divided into two groups of with or without thrombocytopenia in the first week. Demographic information and treatment information about the patients were recorded. SPSS V.26 software was used for the statistical analysis of data. In this study, the prevalence of thrombocytopenia in the first week after burns was 36%. The variables of age, sex, duration of hospitalization, burn agent, percentage of burns and use of silver sulfadiazine ointment were significantly different in the two groups of patients. The group without thrombocytopenia had a mortality rate of 5.1%, while the group with thrombocytopenia had a rate of 32.2%. Based on the results of this study, thrombocytopenia is significantly associated with mortality in burn patients. Furthermore, the results of this study indicate that age, sex, burn agent, percentage of burns, and the use of silver sulfadiazine ointment have a clear impact on the thrombocytopenic status of patients.

摘要

每微升血液中血小板计数低于150,000被称为血小板减少症。血小板计数监测在烧伤患者的护理中至关重要。本研究的目的是评估不同体表烧伤百分比患者组的血小板计数及其与烧伤严重程度和死亡率的关系。这项回顾性描述性横断面研究是对在六个月期间入住沙希德·莫塔哈里医院的患者进行的。该研究针对受伤第一天入院的烧伤患者。患者在第一周被分为有或无血小板减少症两组。记录患者的人口统计学信息和治疗信息。使用SPSS V.26软件对数据进行统计分析。在本研究中,烧伤后第一周血小板减少症的患病率为36%。两组患者的年龄、性别、住院时间、烧伤剂、烧伤百分比和使用磺胺嘧啶银软膏等变量存在显著差异。无血小板减少症组的死亡率为5.1%,而有血小板减少症组的死亡率为32.2%。基于本研究结果,血小板减少症与烧伤患者的死亡率显著相关。此外,本研究结果表明年龄、性别、烧伤剂、烧伤百分比和使用磺胺嘧啶银软膏对患者的血小板减少状态有明显影响。

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