烧伤患者难愈合创面形成的影响因素分析
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巩晶晶(1990.2-),女,山西吕梁人,硕士,主治医师,主要从事烧伤整形及难愈合创面的诊疗研究方向工作

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李俊(1973.11-),女,宁夏银川人,本科,主任医师,主要从事烧伤创面、慢性创面等的诊疗工作及机制研究方向 工作

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R644

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Analysis of Inffuencing Factors for Formation of Non-healing Wound in Burn Patients
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    摘要:

    目的 分析烧伤患者难愈合创面形成的影响因素。方法 选取2023年1月-2024年12月宁夏回族自 治区人民医院烧伤整形科收治的98例烧伤患者作为研究对象,将存在难愈合创面形成的患者归为难愈组 (n=50),其他归为非难愈组(n=48)。通过收集、对比其临床相关资料,采用单因素及多因素分析烧 伤患者难愈合创面形成的影响因素。结果 98例患者中存在难愈合创面形成50例,占比51.02%;单因素分 析显示,难愈组吸烟、洗澡间隔时间长、糖尿病、创面感染、适量饮酒、经常参加体育锻炼与非难愈组比 较,差异有统计学意义(P<0.05);二元Logistic回归分析显示,吸烟、洗澡间隔时间长、糖尿病、创面感 染是难愈合创面形成的独立危险因素(P<0.05),而适量饮酒和经常参加体育锻炼是难愈合创面形成的 保护性因素(P<0.05)。结论 烧伤难愈合创面形成的发生率比较高,且与吸烟、洗澡间隔时间长、糖尿 病、创面感染、适量饮酒、规律体育锻炼等多种可干预因素密切相关。因此,临床实践中应加强对危险因 素的识别与管理,并积极倡导健康的生活方式,以促进创面修复、改善患者预后。

    Abstract:

    Objective To analyze the inffuencing factors for the formation of non-healing wound in burn patients. Methods A total of 98 burn patients admitted to the Department of Burn and Plastic Surgery, People's Hospital of Ningxia Hui Autonomous Region from January 2023 to December 2024 were selected as the research subjects. Patients with non-healing wound were classiffed into the non-healing group (n=50), and the others into the healing group (n=48). Clinical data of the two groups were collected and compared. Univariate analysis and multivariate analysis were used to explore the influencing factors for the formation of non-healing wounds in burn patients. Results Among the 98 patients, 50 had non-healing wound, accounting for 51.02%. Univariate analysis showed that there were statistically signiffcant differences between the non-healing group and the healing group in terms of smoking, long interval between baths, diabetes mellitus, wound infection, moderate alcohol consumption and regular physical exercise (P<0.05). Binary Logistic regression analysis showed that smoking, long interval between baths, diabetes mellitus and wound infection were independent risk factors for the formation of non-healing wound (P<0.05), while moderate alcohol consumption and regular physical exercise were protective factors for the formation of non-healing wounds (P<0.05). Conclusion The incidence of non-healing wound in burn patients is relatively high, and it is closely related to multiple modiffable factors such as smoking, long interval between baths, diabetes mellitus, wound infection, moderate alcohol consumption and regular physical exercise. Therefore, in clinical practice, it is necessary to strengthen the identiffcation and management of risk factors, and actively advocate a healthy lifestyle to promote wound repair and improve patient prognosis.

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巩晶晶,丁 杨,张晓莉,等.烧伤患者难愈合创面形成的影响因素分析[J].医学美学美容,2025,34(23):41-44.

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  • 在线发布日期: 2026-01-12
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