Epidemiological investigation of low-heat burns in Hainan,China
Objective To analyze the characteristics and causes of low-heat burns in Hainan region,and to explore the prevention strategies.Methods From Jan.1,2018 to Dec.31,2022,the Burn and Plastic Surgery De-partment,928 Hospital of PLA Joint Logistics Support Force administrated 94 cases of low-heat burns.Epidemiologi-cal characteristics such as age,gender,comorbidities,burn time ( season),location,and etiology,as well as clinical data of the burn site,area and depth,injury to hospital visit time,wound infection,and treatment measures were col-lected and analyzed.Results The average annual visit to our hospital for low-heat burns was 18.0±2.8.The proportion of low-heat burns in the female gender was 56.4％,significantly higher than that in the male gender (43.6％,P<0.05).Low-heat burns were mainly caused by accidental burns during thermotherapy (34.0％,32/94) or accidental burns during heating (60.6％,57/94).In this study,43.6％ of patients (41/94) had concomitant con-sciousness disorders or local sensory retardation.Comorbidities such as consciousness disorders or local sensory re-tardation were risk factors for accidental heating burns(P<0.05).Patients were divided into thermotherapy etiology and heating etiology,which accounted for 28.6％ (2/7) and 57.1％ (4/7) of the underaged,10.6％ (5/47) and 83.0％ (39/47) of the young and middle-aged,and 62.5％ (25/40) and 35.0％ (14/40) of the elderly,revea-ling statistically significant difference regarding the etiology of low-heat burns among different age groups ( P<0.05).The incidence of low-heat burns in summer was the highest (42.6％,40/94),and the other three seasons demonstrated a similar number of cases.Low-heat burns in summer were mainly caused by thermotherapy accidents (52.5％,21/40),while those in winter were caused by heating accidents (90.5％,19/21).Different seasons showed significantly different causes of low-heat burns(P<0.05).Most low-heat burns had a burn area≤1％ to-tal body surface area (86.2％,81/94).Among the 94 cases,76.6％ were deep wounds(deep Ⅱ°+Ⅲ°),of which 34.0％ (32/94) had Ⅲ° burns;14.9％(14/94) were complicated with wound infection and 28.7％(27/94) re-ceived surgical treatment.Conclusion The occurrence of low-heat burns in Hainan region is closely related to the climate conditions--high temperature and high humidity.It is suggested that targeted prevention and treatment meas-ures should be developed based on the above findings.
万方数据
维普
