■分析儿童常见的意外皮肤撕裂的流行病学特征和伤口愈合情况。
■对1107名儿童的数据进行了回顾性分析,0-12岁,2019年1月1日至2022年12月30日在山东大学齐鲁医院接受急诊治疗的皮肤撕裂伤。年龄数据,损伤部位,从受伤到缝合的时间,并对创面愈合情况进行统计学分析。
■在1,107例病例中,男性714人(64.5%),女性393人(35.5%),男女比例为1.8:1;中位年龄为5岁(IQR,3-7).婴幼儿(0-3岁)所占比例最高,占36.3%(402例)。3岁以上儿童的数量随着年龄的增加而逐渐减少。在年幼的孩子中,最常见的伤害是额头,头皮,和下颚;在学龄儿童中,肢体和躯干损伤的比例明显增加。年龄(或,1.34;95%CI,1.23-1.46),户外伤害(或,2.21;95%CI,1.18-4.16),下肢受伤(或,5.35;95%CI,2.86-10.00),和伤口长度大于3厘米(或,10.65;95%CI,5.02-22.60)是伤口愈合不良的重要危险因素。伤口愈合不良的风险每增加一年增加34%。
■在儿童中,意外皮肤撕裂的常见部位表现出明显的年龄和性别分布特征。年纪大了,户外伤害,较长的伤口长度,下肢损伤是伤口愈合不良的独立危险因素。
UNASSIGNED: To analyze the epidemiological characteristics and wound healing conditions of common unintentional skin
lacerations in children.
UNASSIGNED: A retrospective analysis was conducted on data from 1,107 children, aged 0-12 years, with skin
lacerations who received emergency treatment at Qilu Hospital of Shandong University from January 1, 2019, to December 30, 2022. Data on age, injury site, time from injury to suturing, and wound healing conditions were statistically analyzed.
UNASSIGNED: Among the 1,107 cases, 714 (64.5%) were male and 393 (35.5%) were female, with a male-to-female ratio of 1.8:1; median age was 5 years (IQR, 3-7). Infants and toddlers (0-3 years old) constituted the highest proportion, accounting for 36.3% (402 cases). The number of children aged over 3 years gradually decreased with increasing age. In younger children, the most common injuries were to the forehead, scalp, and lower jaw; in school-aged children, the proportion of limb and trunk injuries significantly increased. Age (OR, 1.34; 95% CI, 1.23-1.46), outdoor injuries (OR, 2.21; 95% CI, 1.18-4.16), lower limb injuries (OR, 5.35; 95% CI, 2.86-10.00), and wound length greater than 3 cm (OR, 10.65; 95% CI, 5.02-22.60) were significant risk factors for poor wound healing. The risk of poor wound healing increased by 34% for each additional year of age.
UNASSIGNED: In children, the common sites of unintentional skin
lacerations show distinct age and gender distribution characteristics. Older age, outdoor injuries, longer wound lengths, and lower limb injuries are independent risk factors for poor wound healing.