广西壮、汉族深Ⅱ度烧伤及一期愈合手术切口缝合伤患者伤后瘢痕增生程度变化及相关因素分析

发布时间：2018-06-20 10:45

本文选题：深Ⅱ度烧伤 + 手术切口　；参考：《广西医科大学》2015年硕士论文

【摘要】：目的研究广西壮、汉族换药愈合未经系统抗瘢痕治疗的深Ⅱ度烧伤以及一期愈合的手术缝合切口患者,在创面愈合后12个月内瘢痕增生程度的变化情况以及瘢痕增生的影响因素。方法对广西不同地区壮、.汉族伤后3,6,12个月三个时相点439例换药愈合且未经抗瘢痕治疗的深Ⅱ度烧伤及一期愈合手术缝合切口患者伤后瘢痕增生程度进行定量测定以及流行病学资料分析,比较创面愈合后不同时期两种类型损伤瘢痕增生情况以及多种因素与瘢痕增生的相关性。结果单因素分析结果显示广西壮、汉族烧伤后瘢痕平均增生程度均比同期手术后瘢痕平均增生程度明显(P0.05)；两民族瘢痕同样损伤类型同期比较无差异(P0.05),两民族同样损伤类型3,6,12个月瘢痕平均增生程度比较无统计学意义(P0.05)；广西壮、汉族人群中,年龄越大瘢痕增生程度越轻；女性手术后瘢痕增生程度均比男性明显(P0.05),烧伤后瘢痕男性均比女性明显(P0.05)；未婚人群伤后瘢痕增生均比已婚人群明显(P0.05)；有过敏史和有辛辣饮食习惯者比无过敏史和无辛辣饮食习惯者瘢痕明显(P0.05)。多因素分析结果显示,年龄(x 2=32.495,P=0.000)、过敏史(x2=12.054,P'=-0.002)和辛辣饮食习惯(x2=6.673,P=0.036)与瘢痕增生程度的关系有显著意义。结论广西壮、汉族烧伤后瘢痕增生程度均比同期手术后瘢痕增生程度明显,两民族瘢痕同样损伤类型同期比较无差异,两民族同样损伤类型在创面愈合后12个月内瘢痕增生程度无明显变化。其余相关因素中年龄、过敏史和辛辣饮食与瘢痕增生程度有关。
[Abstract]:Objective to study the changes of scar hyperplasia and the influencing factors of scar hyperplasia within 12 months after the wound healing in Guangxi Zhuang and Han nationality, and the influence factors of scar hyperplasia within 12 months after the healing of the wound healing, and the influence factors of scar hyperplasia in Guangxi. 439 cases of deep second degree burn without anti scar treatment and the degree of scar hypertrophy after wound healing in one stage healing operation were quantitatively measured and the epidemiological data were analyzed. The results of two types of scar hypertrophy and the correlation between multiple factors and scar hyperplasia were compared in different periods after wound healing. The results of single factor analysis showed that the average hyperplastic degree of scar in Guangxi Zhuang and Han nationality was significantly higher than that of the same period after the operation (P0.05), and there was no difference in the same period of the two ethnic scar (P0.05). The average degree of proliferation of the two ethnic groups was not statistically significant (P0.05). The older the Han population, the older the Han population, the greater the degree of scar hyperplasia, the higher the degree of scar hyperplasia in the women (P0.05), and the scar male was significantly higher than that of the female (P0.05) after the burn (P0.05); the unmarried crowds were significantly more hypertrophic than those of the married people (P0.05), and the allergy history and the spicy eating habits were more than no allergy history and no symplectic. The results of multiple factors analysis showed that the relationship between age (x 2=32.495, P=0.000), allergy history (x2=12.054, P'=-0.002) and spicy diet (x2=6.673, P=0.036) was significant to the degree of scar hyperplasia. Conclusion the degree of scar hyperplasia in Guangxi Zhuang and Han nationality after burn was better than that of scar hyperplasia after the same period of operation in Guangxi. There was no difference in the same type of scar in the same period of the two ethnic groups. The two ethnic groups had no obvious changes in the degree of scar proliferation within 12 months after the wound healing. The other related factors were related to the age, the allergy and the spicy diet and the degree of scar hyperplasia.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R644

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