切换至 "中华医学电子期刊资源库"

中华损伤与修复杂志(电子版) ›› 2017, Vol. 12 ›› Issue (06) : 467 -469. doi: 10.3877/cma.j.issn.1673-9450.2017.06.013

所属专题: 文献

综述

老年烧伤创面处理的研究进展
江政英1, 闵定宏1, 郭光华1,()   
  1. 1. 330006 南昌大学第一附属医院烧伤科
  • 收稿日期:2017-11-16 出版日期:2017-12-01
  • 通信作者: 郭光华
  • 基金资助:
    江西省教育厅科学技术研究项目(GJJ150252)

Research progress in wound treatment of burns in the elderly

Zhengying Jiang1, Dinghong Min1, Guanghua Guo1,()   

  1. 1. Department of Burns, First Affiliated Hospital of Nanchang University, Nanchang 330006, China
  • Received:2017-11-16 Published:2017-12-01
  • Corresponding author: Guanghua Guo
  • About author:
    Corresponding author: Guo Guanghua, Email:
引用本文:

江政英, 闵定宏, 郭光华. 老年烧伤创面处理的研究进展[J]. 中华损伤与修复杂志(电子版), 2017, 12(06): 467-469.

Zhengying Jiang, Dinghong Min, Guanghua Guo. Research progress in wound treatment of burns in the elderly[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2017, 12(06): 467-469.

在我国,大于60周岁的人群称为老年人。随着社会老龄化加重,老年患者在烧伤患者中所占的比例呈逐年上升的趋势,且病死率高。伤后创面处理是治疗老年烧伤的关键,然而,是积极手术还是保守换药治疗尚存争议。基于临床实践效果来改进治疗手段(PBE-CPI)是一种能够用于老年烧伤创面处理的临床研究方法论,有望进一步明确老年烧伤创面处理方案。

In China, people over 60 years of age are called the elderly. With the aggravation of aging of society, the proportion of elderly patients in burn patients is increasing year by year, the same as the high case fatality rate. Wound treatment is the key to the treatment of the elderly with burns, however, active surgery or conservative dressing treatment remains controversial. Practice-based evidence for clinical practice improvement (PBE-CPI) is a methodology of clinical research, which can be used for the wound treatment of elderly with burns, is expected to further clarify the elderly burn wound treatment program.

[1]
Keck M, Lumenta DB, Andel H, et al. Burn treatment in the elderly[J]. Burns, 2009, 35(8):1071-1079.
[2]
张家平,黄跃生. 老年烧伤防治现状与思考[J]. 中华烧伤杂志,2017, 33(9):529-532.
[3]
汤勇,王良喜,谢卫国,等. 多中心老年和中青年严重烧伤住院患者流行病学调查分析[J]. 中华烧伤杂志,2017, 33(9):537-544.
[4]
Lumenta DB, Hautier A, Desouches C, et al. Mortality and morbidity among elderly people with burns-evaluation of data on admission[J]. Burns, 2008, 34(7):965-974.
[5]
Dai DF, Rabinovitch PS, Ungvari Z. Mitochondria and cardiovascular aging[J]. Circ Res, 2012, 110(8):1109-1124.
[6]
Cheitlin MD. Cardiovascular physiology-changes with aging[J]. Am J Geriatr Cardiol, 2003, 12(1):9-13.
[7]
Sharma G, Goodwin J. Effect of aging on respiratory system physiology and immunology[J]. Clin Interv Aging, 2006, 1(3):253-260.
[8]
Oyarzún G M. [Pulmonary function in aging][J]. Rev Med Chil, 2009, 137(3):411-418.
[9]
Adams SD, Cotton BA, Mcguire MF, et al. Unique pattern of complications in elderly trauma patients at a Level I trauma center[J]. J Trauma Acute Care Surg, 2012, 72(1):112-118.
[10]
刘锐,李宗瑜. 老年烧伤的特点及救治研究进展[J]. 中华烧伤杂志,2017, 33(9):553-556.
[11]
蔡少甫,郑庆亦,邹紫红,等. 老年特大面积烧伤一例[J]. 中华烧伤杂志,2011, 27(2):166.
[12]
Farage MA, Miller KW, Elsner P, et al. Functional and physiological characteristics of the aging skin[J]. Aging Clin Exp Res, 2008, 20(3):195-200.
[13]
Jones KR. Wound healing in older adults[J]. Aging Health, 2009, 5(6):851-866.
[14]
江政英,闵定宏,郭光华. 老年烧伤治疗研究进展[J]. 中华烧伤杂志,2017, 33(4):251-254.
[15]
Thomas DR, Burkemper NM. Aging skin and wound healing[J]. Clin Geriatr Med, 2013, 29(2):xi-xx.
[16]
程文凤,申传安,赵东旭,等. 中国老年烧伤患者流行病学研究现状分析[J/CD]. 中华损伤与修复杂志(电子版), 2017, 12(1):69-71.
[17]
王帅,徐庆连,牛锦程,等. 负压创面治疗技术在中老年Ⅲ/Ⅳ度烧伤创面中的应用[J/CD]. 中华损伤与修复杂志(电子版), 2013, 8(3):286-288.
[18]
韩兴海,陈旭林,牛云飞,等. 362例老年烧伤患者临床资料分析[J]. 中华烧伤杂志,2004, 20(5):320.
[19]
叶胜捷,张文振,庞淑光,等. 应用Meek微型皮片移植术修复老年成批大面积烧伤创面的疗效观察[J/CD]. 中华损伤与修复杂志(电子版), 2015, 10(3):239-243.
[20]
Middelkoop E, Vloemans AF. Response to Burns in the Elderly: What is Pathophysiology and What is Physiology[J]. Ebiomedicine, 2015, 2(10):1314-1315.
[21]
Jiang ZY, Liu MZ, Sun W, et al. Wound Management[J]. J Burn Care Res, 2017, 38(4):e782-e785.
[22]
Kirn DS, Luce EA. Early excision and grafting versus conservative management of burns in the elderly[J]. Plast Reconstr Surg, 1998, 102(4):1013-1017.
[23]
Horn SD, Gassaway J. Practice-based evidence study design for comparative effectiveness research[J]. Med Care, 2007, 45(10 Supl 2):S50-S57.
[24]
周日兴,李叶扬,李罡,等. 319例老年烧伤患者的死亡危险因素分析及预测[J]. 中华烧伤杂志,2014, 30(5):447-449.
[25]
Housinger T, Saffle J, Ward S, et al. Conservative approach to the elderly patient with burns[J]. Am J Surg, 1984, 148(6):817-820.
[26]
Khadim MF, Rashid A, Fogarty B, et al. Mortality estimates in the elderly burn patients: the Northern Ireland experience[J]. Burns, 2009, 35(1):107-113
[27]
Huang SB, Chang WH, Huang CH, et al. Management of elderly burn patients[J]. Int J Gerontol, 2008, 2(3):91-97.
[28]
陈斌,罗利达,张志,等. 175例手背深Ⅱ度烧伤后早期切削痂植皮疗效分析[J]. 中华烧伤杂志,2005, 21(2):136-137.
[29]
Deitch EA, Clothier J. Burns in the elderly: an early surgical approach[J]. J Trauma, 1983, 23(10):891-894.
[30]
Pomahac B, Matros E, Semel M, et al. Predictors of survival and length of stay in burn patients older than 80 years of age: does age really matter[J]. J Burn Care Res, 2006, 27(3):265-269.
[31]
Shariff Z, Rodrigues JN, Anwar U, et al. Burns in patients over 90: a fifteen-year series from a regional burns centre[J]. Burns, 2015, 41(2):297-300.
[32]
黄跃生. 烧伤外科学[M]. 北京. 科学技术文献出版社,2010: 4-10.
[1] 姚咏明. 如何精准评估烧伤脓毒症患者免疫状态[J]. 中华损伤与修复杂志(电子版), 2023, 18(06): 552-552.
[2] 涂家金, 廖武强, 刘金晶, 涂志鹏, 毛远桂. 严重烧伤患者鲍曼不动杆菌血流感染的危险因素及预后分析[J]. 中华损伤与修复杂志(电子版), 2023, 18(06): 491-497.
[3] 王成, 张慧君, 覃凤均, 陈辉. 网状植皮与ReCell表皮细胞种植在深Ⅱ度烧伤治疗中的疗效对比[J]. 中华损伤与修复杂志(电子版), 2023, 18(06): 498-502.
[4] 周子慧, 李恭驰, 李炳辉, 王知, 刘慧真, 王卉, 邹利军. 细胞自噬在创面愈合中作用的研究进展[J]. 中华损伤与修复杂志(电子版), 2023, 18(06): 542-546.
[5] 李凤仪, 李若凡, 高旭, 张超凡. 目标导向液体干预对老年胃肠道肿瘤患者术后血流动力学、胃肠功能恢复的影响[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 29-32.
[6] 晏晴艳, 雍晓梅, 罗洪, 杜敏. 成都地区老年转移性乳腺癌的预后及生存因素研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 636-638.
[7] 李婷婷, 吴荷玉, 张悦, 程康, 张晓芳, 程娅婵. 复合保温策略在老年腹腔镜解剖性肝切除术中的应用研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(05): 522-525.
[8] 刘跃刚, 薛振峰. 腹腔镜腹股沟疝日间手术在老年患者中的安全性分析[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 711-714.
[9] 代格格, 杨丽, 胡媛媛, 周文婷. 手术室综合干预在老年腹股沟疝患者中的应用效果[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 759-763.
[10] 赵宏霞, 刘静, 李晓薇, 陈金婵, 汪志霞. 腹腔镜下经阴道子宫全切术联合阴道前后壁修补术治疗老年子宫脱垂效果[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(05): 561-565.
[11] 孙伟, 林丽, 师高洋. 超声引导下连续髂腹股沟-髂腹下神经阻滞与腹横肌平面阻滞在老年腹股沟疝手术中应用效果比较[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(05): 593-597.
[12] 单秋洁, 孙立柱, 徐宜全, 王之霞, 徐妍, 马浩, 刘田田. 中老年食管癌患者调强放射治疗期间放射性肺损伤风险模型构建及应用[J]. 中华消化病与影像杂志(电子版), 2023, 13(06): 388-393.
[13] 姜里蛟, 张峰, 周玉萍. 多学科诊疗模式救治老年急性非静脉曲张性上消化道大出血患者的临床观察[J]. 中华消化病与影像杂志(电子版), 2023, 13(06): 520-524.
[14] 毛树文, 袁方, 唐昊, 王建民. 针刀调节交感神经对老年胃溃疡患者胃功能和溃疡愈合的影响[J]. 中华消化病与影像杂志(电子版), 2023, 13(05): 326-330.
[15] 郭震天, 张宗明, 赵月, 刘立民, 张翀, 刘卓, 齐晖, 田坤. 机器学习算法预测老年急性胆囊炎术后住院时间探索[J]. 中华临床医师杂志(电子版), 2023, 17(9): 955-961.
阅读次数
全文


摘要