Objective:Pediatric burns pose difficult healthcare issues in underdeveloped nations.Due to the scarcity of pediatric burn care facilities and qualified burn‑care staff,patients are frequently referred from a rural ho...Objective:Pediatric burns pose difficult healthcare issues in underdeveloped nations.Due to the scarcity of pediatric burn care facilities and qualified burn‑care staff,patients are frequently referred from a rural hospital.This study explores the burn‑treatment approach that could be used in rural hospitals in the absence of a dedicated pediatric burn care facility.Materials and Methods:A retrospective analysis of clinical data of 199 children who received treatment for burn‑injury in an isolated general surgical ward.Wound debridement under anesthesia at the earliest was the cornerstone of the treatment plan for this cohort.Until the wounds healed,the treatment was repeated every alternate day.The patient’s demographic data,number of surgical dressings,length of hospital stay,and outcome were analyzed.Results:The mean age of the patients was 51.68±23.79 months.The male‑female ratio was 1.45:1.The survival rate was 99.00%.The disability rate was 4.52%.Univariate logistic regression identified the age group,total body surface area affected,depth of the wound,and time of intervention as statistically significant variables(P<0.05)predicting the disfigurement.Multivariate logistic regression identified the time intervals between surgical intervention and injury as an important predictor of morbidity.In addition,delayed presentation and delayed intervention led to a longer hospital stay,and more interventions than the early intervention cohort.Conclusions:Early debridement accelerates recovery and lessens the need for future skin grafts or contracture procedures.This approach can be used in rural hospitals as well because pediatric burns can be manageable in an isolated general ward.展开更多
目的探讨复方桐叶烧伤油在冠脉介入术后并发症中的应用效果。方法将60例经桡动脉行冠脉介入术后出现术侧肢体肿胀、疼痛并发症的患者随机分为观察组与对照组,每组30例。观察组采用复方桐叶烧伤油外敷术侧肢体,对照组采用50%硫酸镁外敷...目的探讨复方桐叶烧伤油在冠脉介入术后并发症中的应用效果。方法将60例经桡动脉行冠脉介入术后出现术侧肢体肿胀、疼痛并发症的患者随机分为观察组与对照组,每组30例。观察组采用复方桐叶烧伤油外敷术侧肢体,对照组采用50%硫酸镁外敷术侧肢体,比较2组患者术侧肢体肿胀消退效果,采用视觉模拟评分方法(VAS)评估患者术后24、48、72 h疼痛程度。结果观察组患者肢体肿胀消退总有效率显著高于对照组(86.67%比73.33%,P=0.036),术后24、48、72 h VAS评分均显著低于对照组(P<0.05或P<0.001)。结论复方桐叶烧伤油外敷能有效治疗冠脉介入术后引起的肢体肿胀,改善患者疼痛程度。展开更多
文摘Objective:Pediatric burns pose difficult healthcare issues in underdeveloped nations.Due to the scarcity of pediatric burn care facilities and qualified burn‑care staff,patients are frequently referred from a rural hospital.This study explores the burn‑treatment approach that could be used in rural hospitals in the absence of a dedicated pediatric burn care facility.Materials and Methods:A retrospective analysis of clinical data of 199 children who received treatment for burn‑injury in an isolated general surgical ward.Wound debridement under anesthesia at the earliest was the cornerstone of the treatment plan for this cohort.Until the wounds healed,the treatment was repeated every alternate day.The patient’s demographic data,number of surgical dressings,length of hospital stay,and outcome were analyzed.Results:The mean age of the patients was 51.68±23.79 months.The male‑female ratio was 1.45:1.The survival rate was 99.00%.The disability rate was 4.52%.Univariate logistic regression identified the age group,total body surface area affected,depth of the wound,and time of intervention as statistically significant variables(P<0.05)predicting the disfigurement.Multivariate logistic regression identified the time intervals between surgical intervention and injury as an important predictor of morbidity.In addition,delayed presentation and delayed intervention led to a longer hospital stay,and more interventions than the early intervention cohort.Conclusions:Early debridement accelerates recovery and lessens the need for future skin grafts or contracture procedures.This approach can be used in rural hospitals as well because pediatric burns can be manageable in an isolated general ward.
文摘目的探讨复方桐叶烧伤油在冠脉介入术后并发症中的应用效果。方法将60例经桡动脉行冠脉介入术后出现术侧肢体肿胀、疼痛并发症的患者随机分为观察组与对照组,每组30例。观察组采用复方桐叶烧伤油外敷术侧肢体,对照组采用50%硫酸镁外敷术侧肢体,比较2组患者术侧肢体肿胀消退效果,采用视觉模拟评分方法(VAS)评估患者术后24、48、72 h疼痛程度。结果观察组患者肢体肿胀消退总有效率显著高于对照组(86.67%比73.33%,P=0.036),术后24、48、72 h VAS评分均显著低于对照组(P<0.05或P<0.001)。结论复方桐叶烧伤油外敷能有效治疗冠脉介入术后引起的肢体肿胀,改善患者疼痛程度。
