Retrospective survey and inspiration of hospitalized patients with hard-to-heal wounds

• 作 者: Chert Kui Wu Lei Liu Yishu Zou Jiping Wan Yu Huang Yingzi Li Xiu Cheng Biao
• 机 构: Department of Plastic Surgery,General Hospital of Guangzhou Military Commands
• 出 处: 首届全国组织修复与再生医学大会暨国际组织修复与再生医学学术研讨会
• 发表日期: 2015年9期
• 关键词: hard-to-heal wounds inpatient

　　Objective To retrospectively investigate the causes, location and the duration of hospital stays of the hospitalized patients with hard-to-heal wounds so as to provide data guidance for the prevention and research of these diseases.Methods.: Clinical data of hospitalized patients with hard-to-heal wounds, in plastic surgery center of General Hospital of Guangzhou Military Command, were collected from June, 2011 to December, 2013.Ulceration wasnt recovered in the patients with skin tissue defect after 2 months treatment was regarded as the standard to screen the patients with hard-to-heal wounds.The causes, location,age and the duration of hospital stays of the hospitalized patients with hard-to-heal wounds were investigated by retrospective case-control method.Chi-square test and t-test were used in analyzing the investigation.Results: 2136 cases, aged from 20 to 86, were treated in plastic surgery center of the hospital.(1)120 cases with hard-to-heal wounds constituted 10.72% of all hospitalized patients.(2)Metabolic disease was the main causes of wound (43.3%), followed by wound infection and tumor (20.0% for each)(x2=62.917, P<0.01).(3)The peak age was 40~60 years followed by that in 60 ~ 80years.(4)Limbs was the predilection site(61.6%), most often occur on the foot(38.3%)(x2=17.546, P=0.002).(6) The average days for hospitalization of in the plastic surgery center were (7.41±8.98), while the average days for hospitalization of the patients with years were (33.21±28.27) (t=-9.968,p<0.05).Conclusion: The average diagnostic age of patients with hard-to-heal wounds was the middle and old aged patient.Chronic skin ulcers, often occurring in a limb, seriously affected a persons ability to move;which can prolong hospital stays, crushing serious burden of the families of patients and the society.