河北医科大学学报

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烧伤对儿童伤残率和瘢痕率的影响分析#br#

  

  1. 1.遵义医学院公共卫生学院流行病与卫生统计学教研室，贵州 遵义 563006；2. 遵义医学院附属医院烧伤整形外科，
    贵州 遵义 563099；3.美国俄亥俄州立大学医学院附属全国儿童医院研究所伤害与
    政策研究中心暨儿童创伤研究中心，俄亥俄 哥伦布 OH 43205
  • 出版日期:2018-01-25 发布日期:2018-01-05
  • 作者简介:聂婵（1992-），女，贵州毕节人，遵义医学院公共卫生学院硕士研究生，从事伤害机制与预防研究。
  • 基金资助:
    国家自然科学基金(81560534)；遵义医学院博士学位授权支撑学科建设专项经费(2015996036)

Analysis on the effect of burns on disability rate and scar rate in children#br#

  1. 1.Department of Epidemiology and Health Statistics, School of Public Health, Zunyi Medical University,
    Guizhou Province, Zunyi 563006, China; 2.Department of Burns and Plastic Surgery, Affiliated
    Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563099, China; 3.Center for
    Injury Research and Policy & Center for Pediatric Trauma Research, the Research
    Institute at Nationwide Children′s Hospital, the Ohio State University
    College of Medicine, Columbus, OH 43205, USA
  • Online:2018-01-25 Published:2018-01-05

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摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗综合评价近30年来国内外烧伤儿童的伤残率和瘢痕率情况，为阐明烧伤儿童的预后情况和针对性预防儿童烧伤提供基础数据。
〖HTH〗方法〖HTSS〗〖KG*2〗系统检索1990—2016年中国期刊全文数据库（CNKI）、万方、维普、Pubmed、Elsevier SD(Science Direct)电子期刊等数据库中有关烧伤儿童的伤残率或瘢痕率的文献，经纳入排除标准严格筛选，用Stata 12.0软件对所得数据进行Meta分析。
〖HTH〗结果〖HTSS〗〖KG*2〗共纳入40篇中英文文献，涵盖了13个国家的20 278例烧伤儿童，合并的烧伤儿童伤残率为3.01%、95CI=1.96%~4.67%，瘢痕率为13.49%、95CI=9.01%~19.74%。
〖HTH〗结论〖HTSS〗〖KG*2〗烧伤儿童的伤残率和瘢痕率较高，各国均应该采取针对性措施预防儿童烧伤，提高烧伤的救治水平，降低伤残率和瘢痕率，改善烧伤儿童的生存质量。

关键词: 烧伤, 残疾儿童, 瘢痕, Meta分析

Abstract: ［Abstract］ Objective〖HTSS〗〓To evaluate the rates of disability and scar among burned children in China and abroad in about recent 30 years, and to provide a basic data for specific prevention of childhood burns.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓 Studies published from 1990 to 2016 which contained disability rate and scar rate about burned children were searched. The databases including CNKI, Wanfang, Weipu, Pubmed, Elsevier SD and so on were used. After strict selection by the inclusion and exclusion criteria, the rates of disability and scar were analyzed by Metaanalysis method using Stata software(Version 12.0).
〖HTH〗〖WTHZ〗Results〖HTSS〗〓A total of 40 papers was included in this study; and the data covered 2 0278 cases of burned children from 13 countries. The pooled disability rate was 3.01%, 95CI=9.01%-19.74%, and the pooled scar rate was 13.49%, 95CI=9.01%-19.74%.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The rates of disability and scar in burned children were high. Specific preventive measures should be taken and the treatment level should be improved to reduce the disability and scar rate and enhance burned children′s quality of life.

Key words: burns, disabled children, cicatrix； Metaanalysis

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