721例烧伤住院病人流行病学调查分析

目的：了解中度以上烧伤发病情况，探讨再生医学(MEBT／MEBO)的临床治疗和疗效。方法：将2000年6月-2002年6月，采用MEBT／MEBO局部治疗配合全身治疗的721列烧伤病人的致伤原因、流行病学特点、伤情特点、救治过程、住院日与转归等资料进行分析和总结，阐明我科两年来的烧伤治疗概况。在721例中，占41．89％，以幼儿和学龄前儿童居多，他们都源以生活烧烫伤。结果：治愈717例，治愈率99．45％，死亡4例，占0．55％。平均住院日28天，深Ⅱ度创面愈后留有色素沉着，轻者6个月随访肤色正常，重者6月～12月随访肤色接近正常，Ⅲ度浅型创面自愈后的花斑样色素沉着12月～28个月随访肤色恢复、皮肤弹性好，Ⅲ度深型自愈后色素缺如，无残疾。结论：中度以上烧伤实行MEBT／MEBO局部治疗并配合全身治疗措施疗效可靠，对提高治愈率，降低病死率具有重要意义。

Epidemiological investigation on 721 hospitalized burn patients

Objective: To investigate the pathogenesis of burn and the efficacy of regeneration medicine (MEBT/MEBO). Method: An analysis of the data of 271 cases of burn treated with MEBT/MEBO was made, including the cause of disease, epidemiological characteristics, case condition, course of treatment, hospitalization time and results. 419 cases were adults, accounted for 58 11%, most of them aged from 20 to 30 and were burned by accidents during work time. 302 cases were children, accounted for 41 89%, most of them were preschool children and infants and were burned by accidents. Result: 717 cases were cured. The curative rate was 99 45%. 4 cases died, accounted for 0 55%. The average hospitalization time was 28 days. Deep 2 nd degree burn wounds healed with pigmentation, but those not severely burned had only slight pigmentation and their skin color turned normal after followed-up for 6 months; others turned normal in 6 to 12 months. Superficial 3 rd degree burn wounds healed with piebald pigmentation and the skin color turned normal in 12 to 18 months. Skin elasticity was good. Deep type 3 rd degree burn wounds healed with no pigment, but not disabled. Conclusion: MEBT/MEBO associated with systemic treatment has very reliable efficacy in treating moderate and severe burn patients. The curative rate was high.