了解颈部深Ⅱ度烧伤非手术治疗患者创面愈合的影响因素，为其非手术治疗方案的制定提供参考。

选择2018年12月至2024年6月河北医科大学第一医院烧伤整形科收治的122例颈部深Ⅱ度烧伤非手术治疗患者作为研究对象。收集患者一般资料，包括性别、年龄、体质指数（BMI）、损伤原因、颈部烧伤面积、烧伤总面积、创面处理方式（暴露治疗、半暴露治疗或包扎治疗）及是否合并吸入性损伤。采用单因素分析及多因素线性回归分析颈部深Ⅱ度烧伤非手术治疗患者创面愈合时间的影响因素。

创面愈合时间为11~36 d，平均（19.3±5.6）d。单因素分析显示，不同损伤原因、创面处理方式、烧伤总面积以及是否合并吸入性损伤患者创面愈合时间差异有统计学意义（P<0.05）。多因素线性回归分析显示，火焰烧伤和热液烫伤患者相较于电弧烧伤患者创面愈合时间更长（β=0.368，P=0.006；β=0.276，P=0.047）；包扎治疗患者相较于非包扎治疗患者创面愈合时间更短（β=-0.208，P=0.030）；合并吸入性损伤患者相较于未合并吸入性损伤患者创面愈合时间更长（β=0.278，P=0.014）。

在颈部深Ⅱ度烧伤患者创面非手术治疗方式中，包扎治疗相较于暴露治疗或半暴露治疗，对于缩短创面愈合时间具有一定优势。火焰烧伤、热液烫伤及合并吸入性损伤的颈部深Ⅱ度烧伤患者创面愈合时间更长，对于此类患者，临床早期需采取针对性治疗措施，以促进创面愈合。

To retrospectively investigate factors influencing wound healing in patients with deep partial-thickness burns on neck undergoing non-surgical treatment, and provide references for optimizing non-surgical treatment strategies.

A total of 122 patients with deep partial-thickness burns on neck who received non-surgical treatment at the Department of Burns and Plastic Surgery， the First Hospital of Hebei Medical University between December 2018 and June 2024 were included. General demographic and clinical data of the patients were collected， including gender， age， body mass index （BMI）， injury causes， neck burn area， total burn area， wound management approach （exposure， semi-exposure， or occlusive dressing） ， and presence of inhalation injury. Univariate analysis and multiple linear regression were performed to identify factors associated with wound healing time.

The wound healing time ranged from 11 to 36 days， with an average of （19.3±5.6） days. Univariate analysis showed that wound healing time differed significantly among patients with different causes of injury， wound management approach， total burn area， and presence or absence of inhalation injury（P<0.05）. Multiple linear regression analysis showed that patients with flame burns or hydrothermal scald had a longer wound healing time compared with those with electrical flash burns （β=0.368， P=0.006； β=0.276， P=0.047， respectively）. Patients treated with occlusive dressings had significantly shorter wound healing time than those managed without occlusive dressings （β=-0.208， P=0.030）. Additionally， patients complicated with inhalation injury exhibited a longer wound healing time than those without inhalation injury（β=0.278， P=0.014）.

Occlusive dressing therapy may offer advantages in reducing wound healing time compared to exposure or semi-exposure approaches for non-surgical management of deep partial-thickness burn on neck. Flame burns and hydrothermal scald and concomitant inhalation injury are associated with prolonged healing， underscoring the need for early targeted interventions in such patients to enhance recovery.