1.An Epidemiological Analysis of 1500 Pediatric Burns Patients at the Burn Center in Yunnan
Baochuan HUANG ; Wuquan LI ; Yi TANG
Journal of Kunming Medical University 2025;46(3):89-96
Objective To study the characteristics of pediatric burn epidemiology in this area.Methods Data of 1 500 pediatric burn patients admitted to the Burn Department of the Second Affiliated Hospital of Kunming Medical University from January 1,2018 to December 31,2022 were collected.The age,sex,time of burn occurrence,type of burn,burn area,burn site,proportion of pediatric burn patients in the same period,length of hospitalization,payment method,hospitalization cost and residence of pediatric burn patients were statistically analyzed.Results The most common time for childhood burns to occur is during early childhood(873 cases,58.2%),with male children more likely to suffer burns compared to female children(male∶female=1.9∶1).The most frequent season for these burns is spring(404 cases,26.9%).Scalding from hot liquids is the primary cause of injury(1211 cases,81.0%).Most childhood burns are classified as moderate severity(945 cases,63.0%).The maximum burn area recorded was 98.0%TBSA,the minimum was 0.1%TBSA,the average burn area was 14.5%TBSA,and the median was 10.0%TBSA.The most common site of burns in children is the trunk(982 cases,23.4%).From 2018 to 2022,the proportion of pediatric burn patients among all burn patients has been decreasing annually(x2=18.852,P<0.001).The average length of hospitalization for pediatric burn patients was 12.4 days,with an average hospitalization cost of 15667.08 yuan.Most of the families of pediatric burn patients live in county-level areas or below(1 027 cases,68.5%).The severity of the burns,treatment methods,and presence of complications all significantly affect the clinical outcomes of pediatric burns,with statistically significant differences(x2=23.453,P<0.001).Conclusion Pediatric burn patients exhibit a range of significant characteristics.The majority of these patients are male,with the most common age group being toddlers.Spring has been identified as the season with the highest incidence of burns,while autumn sees relatively fewer cases.Scald injuries from hot liquids are the most common type of burn,with moderate burns being the most prevalent.The average bum area is approximately 14.5%of the total body surface area(TBSA).The limbs and trunk are the most commonly affected areas.In recent years,there has been a noticeable decrease in the proportion of pediatric burn patients,which is attributed to the growing awareness of burn prevention among the general population.
2.Clinical efficacy observation of spine subtle adjusting manipulation for postpartum low back pain
Zhen LI ; Xilin ZHANG ; Shufu ZHANG ; Wuquan SUN ; Xuewen YE ; Wanqiao HUANG ; Kexin WU ; Zhijun ZHAO ; Yuxia CHEN
Journal of Acupuncture and Tuina Science 2022;20(2):159-164
Objective: To explore the clinical efficacy of spine subtle adjusting manipulation for postpartum low back pain (PLBP). Methods: A total of 76 patients with PLBP were randomized into a control group and a treatment group, with 38 cases in each group. The control group was treated with core muscle strengthening exercises, and the treatment group was treated with spine subtle adjusting manipulation. After 3 weeks of treatment, the clinical efficacy was observed, and the visual analog scale (VAS) score and Oswestry disability index (ODI), and the changes of lumbar Cobb angle and pelvic rotation were compared between the two groups. Results: The total effective rate of the treatment group was 92.1%, and that of the control group was 78.9%. The difference between the two groups was statistically significant (P<0.05). After treatment, the VAS score and ODI in both groups decreased, and the intra-group differences were all statistically significant (P<0.05). There were no intra-group statistical differences in the lumbar Cobb angle or pelvic rotation in the two groups (P>0.05). After treatment, there were no statistical differences in the lumbar Cobb angle or pelvic rotation between the two groups (P>0.05); the VAS score and ODI in the treatment group were significantly lower than those in the control group (P<0.05). Conclusion: Spine subtle adjusting manipulation can effectively relieve the pain for patients with PLBP, and improve their daily activity function.
3.Research progress of stroke self-management assessment tools and interventions
Xingyue LIU ; Wuquan HUANG ; Yanmei WANG ; Xiaolan WANG ; Peng ZHANG
Chinese Journal of Practical Nursing 2022;38(12):946-951
Stroke self-management model is still in the exploratory stage, lacking of systematic and well-informed intervention measures. The concept of stroke self-management, assessment tools, influencing factors and intervention measures and methods based on influencing factors were reviewed in this paper. The purpose of this study was to provide some reference for the formulation of stroke health management intervention program and the development of rigorous stroke health management practice research.

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