Fu X, Sheng Z, Cherry G W, Li Q
Wound Healing Unit, 304th Hospital, Trauma Center of Postgraduate Medical College, Beijing, P.R. China.
Wound Repair Regen. 1998 Jan-Feb;6(1):21-7. doi: 10.1046/j.1524-475x.1998.60105.x.
A total of 30,000 hospitalized surgical patients in 15 hospitals were screened for chronic ulcers. A total of 489 patients with chronic dermal ulcers were found with their major causes of ulceration including traumatic wounds, infections, diabetes mellitus, and venous diseases. Patients with chronic ulcers following trauma and infection comprised 67.48% of the total patient population. The incidence of diabetic ulcers and venous ulcers was 4.91% and 6.54% respectively. Sites of ulceration differed with different etiological factors. The percentage of chronic dermal ulcers in the lower extremities, upper extremities, thorax and abdomen, back, and head was 63.10%, 17.93%, 7.76%, 4.83% and 6.38% respectively. Of the 489 patients with chronic ulcers, 183 were farmers (37.42%), and 131 were workers (26.79%). Chronic dermal ulcers were more common in men than in women, but there was no significant difference in the sex-related prevalence. According to these data from different hospitals, the incidence of chronic ulcers in patients hospitalized for surgery was 1.5% to 3.0%. These data have primarily shown the prevalence and clinical characteristics of chronic ulcers in hospitalized patients in China. These data may not be consistent with reports from other countries. Significant differences in etiological factors of ulceration, professional distribution of patients with chronic dermal ulcers, and treatment methods were found when compared with reports of studies conducted in developed countries. Our results will benefit not only additional basic research, but these data will also be useful in preventing and managing chronic wounds in developing countries.
在15家医院中，对总共30000名住院手术患者进行了慢性溃疡筛查。共发现489例慢性皮肤溃疡患者，其溃疡的主要病因包括创伤性伤口、感染、糖尿病和静脉疾病。创伤和感染后慢性溃疡患者占总患者人数的67.48%。糖尿病溃疡和静脉溃疡的发病率分别为4.91%和6.54%。溃疡部位因病因不同而有所差异。下肢、上肢、胸部和腹部、背部以及头部慢性皮肤溃疡的比例分别为63.10%、17.93%、7.76%、4.83%和6.38%。在489例慢性溃疡患者中，183例为农民（37.42%），131例为工人（26.79%）。慢性皮肤溃疡在男性中比在女性中更常见，但在性别相关患病率上没有显著差异。根据不同医院的这些数据，手术住院患者中慢性溃疡的发病率为1.5%至3.0%。这些数据初步显示了中国住院患者慢性溃疡的患病率和临床特征。这些数据可能与其他国家的报告不一致。与发达国家进行的研究报告相比，在溃疡病因、慢性皮肤溃疡患者的职业分布和治疗方法方面发现了显著差异。我们的结果不仅将有益于更多的基础研究，而且这些数据也将有助于发展中国家预防和管理慢性伤口。
