| 张 波,苏永涛,顾国明,王春雷,朱俊晖,隋颖,牛先明.2017—2018年淄博地区慢性难愈合创面流行病学特征分析[J].中国烧伤创疡杂志,2021,(1):15~18. |
| DOI： |
| 中文关键词: 淄博 慢性难愈合创面 流行病学 病因 病原菌 |
| 英文关键词:Zibo City Chronic refractory wounds Epidemiology Etiology Pathogenic bacteria |
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| 中文摘要: |
| 目的 分析2017—2018年山东省淄博地区1910例慢性难愈合创面患者的流行病学特点。方法 选取2017年1月至2018年12月就诊于淄博地区创面修复联盟医院的1910例慢性难愈合创面患者作为研究对象，收集并统计患者性别、年龄、病因、创面分布及感染情况，分析慢性难愈合创面的流行病学特点。结果 （1）1910例慢性难愈合创面患者中男性1224例、女性686例（男:女=1.784:1），从患者年龄分布情况可见，男女患者均以60～80岁（男37.9%、女41.8%）年龄段发病率最高，40～60岁（男31.2%、女31.8%）年龄段发病率次之；从患者病因分布情况可见，男女患者致病原因均以糖尿病（男31.3%、女35.5%）与创伤（男26.3%、女19.0%）为主。（2）1910例慢性难愈合创面患者中共有慢性难愈合创面2672处，男女患者均以下肢创面所占比例（男71.7%、女66.8%）最高。（3）1910例慢性难愈合创面患者中共有512例患者合并感染，合并感染患者创面分泌物培养共分离出517株病原菌，其中革兰氏阳性菌256株（49.5%），以金黄色葡萄球菌（146株，28.2%）检出率最高；革兰氏阴性菌239株（46.2%），以铜绿假单胞菌（124株，24.0%）检出率最高；真菌22株（4.3%），以白色念珠菌（11株，2.1%）检出率最高。结论 2017—2018年山东省淄博地区1910例慢性难愈合创面患者以男性居多，发病率以60～80岁年龄段最高，致病原因以糖尿病与创伤为主，感染病原菌以革兰氏阳性菌最多，根据慢性难愈合创面的流行病学特征，建立适合当地地域特点的医疗体系尤为重要。 |
| 英文摘要: |
| 【Abstract】Objective To analyze the epidemiological characteristics of 1,910 patients with chronic refractory wounds in Zibo City, Shandong Province. Methods 1,910 patients with chronic refractory wounds, admitted to the Wound Repair Departments of hospitals in Zibo city from January 2017 to December 2018, were selected as the research subjects. Data about gender, age, etiology, wound distribution and infection condition of these patients were collected for the analysis of epidemiological characteristics of the chronic refractory wounds. Results (1) Among the 1910 patients with chronic refractory wounds, there were 1224 males and 686 females (male: female = 1.784:1). In terms of age distribution, patients, including males and females, at the age of 60 to 80 years old (male 37.9%, female 41.8%) had the highest incidence, followed by patients at the age of 40-60 years old (male 31.2%, female 31.8%). In terms of etiology, the leading causes of chronic refractory wounds in both male and female patients were diabetes (male 31.3%, female 35.5%) and trauma (male 26.3%, female 19.0%). (2) There were 2,672 chronic refractory wounds in the 1910 patients. Wounds on the lower limbs accounted for the largest share in both male and female patients (71.7% in males and 66.8% in females). (3) 512 of the 1910 patients were complicated with infection, and 517 strains of pathogenic bacteria were isolated from wound secretions of patients with infection, among which there were 256 (49.5%) strains of Gram-positive bacteria, with the highest detection rate in Staphylococcus aureus (146 strains, 28.2%), 239 strains of Gram-negative bacteria (46.2%) with the highest detection rate in Pseudomonas aeruginosa (124 strains, 24.0%), 22 strains of fungi (4.3%) with the highest detection rate in Candida albicans (11 strains, 2.1%). Conclusion Most of the 1910 patients with chronic refractory wounds, admitted into the hospitals in Zibo City of Shandong Province from 2017 to 2018, were males. Patients at the age of 60-80 years old have the highest incidence, with diabetes and trauma as the main causes and Gram-positive bacteria as the major pathogenic bacteria. It is essential to establish a medical system suitable for local geographical condition based on the epidemiological characteristics of chronic refractory wounds. |
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