保守管理儿童的痕结局烧伤后:一项回顾性研究
Stephanie Ball1, Stephanie Wicks2, Rhianydd Thomas1,2
1Macquarie University, Sydney, New South Wales, Australia.
International wound journal
|July 1, 2024
概括
过度缩性痕影响超过一半的儿科烧伤患者在3周内愈合,其中16.3%的患者经历了持续的痕,尽管进行了干预. 早期检测和管理对于烧伤痕的结果至关重要.
科学领域:
- 儿科烧伤护理 儿科烧伤护理
- 皮肤病学 皮肤病学
- 伤口治愈研究研究 伤口治愈研究
背景情况:
- 过度缩性痕是烧伤后的常见和重大并发症.
- 缩性痕的风险存在,即使在3周内愈合的烧伤,尽管有预防性干预措施.
- 在部分厚度烧伤中,延迟伤口愈合 (超过14天) 是一个关键因素.
研究的目的:
- 为了确定患有部分厚度烧伤的儿科患者早期和持续性高变性痕的患病率.
- 研究伤口愈合时间与缩性痕发育之间的关系.
- 评估保守性痕干预措施对缩性痕结局的影响.
主要方法:
- 326名患有部分厚度烧伤的儿科患者的回顾性病历审计在14天内愈合,没有进行皮肤移植.
- 从2014年到2019年在三级儿科医院收集的数据.
- 超性痕定义为>1mm高度;早期 (3-6个月) 和持久 (12-18个月) 的流行率被评估.
主要成果:
- 伤口关闭的平均时间是18天.
- 早期缩性痕发生率为56.1%,持久性痕发生率为16.3%.
- 超过一半的研究儿童在14到21天之间愈合,在早期和持续的时间点都有显著的痕发病率.
结论:
- 在21天内愈合的儿科烧伤患者中,很大一部分患有缩性痕.
- 即使有干预措施,这种人群中持续的过度缩性痕仍然是令人担忧的.
- 儿童在14至21天之间愈合烧伤需要仔细监测过度缩痕的发展.
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