数字化检测运用于大鼠烫伤面积计算的实验研究
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李伟燎,男,副主任医师,主要研究方向是儿童烧伤整形。

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R 644

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佛山市科技创新项目(2020001005543);佛山市胎儿医学研究所妇女儿童医学研究中心创新项目 (FEYJZX-2020-009);深圳市科创委基础研究面上项目(JCYJ20190809145809375)


Experimental Study of Digital Detection in the Calculation of Scald Area in Rats
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    摘要:

    摘 要目的:通过对比数字化检测与人工测量相同大鼠烫伤创面面积,检验数字化检测方法对创面面积测量的 精确度,以期获得简便、精确的烫伤面积测量方法。 方法:将大鼠按照烫伤模型要求形成烫伤创面,在烫伤创面稳定 后用数字化采图并计算出创面面积纳入数字测量组。用薄膜拓印创面,利用微积分方法人工测量出创面面积纳入人 工测量组。利用游标卡尺测量正圆模具内径,纳入模具测量组。进行烫伤创面完整性鉴定及致伤鉴定,以及三组测 量结果比较和分析。 结果:按照大鼠烫伤模型制作方法共获得 30 处完整烫伤创面并采图,经病理活检确定共获得浅 II 度烫伤创面 9 例,深 II 度烫伤创面 9 例,III 度烫伤创面 12 例。模具测量组烫伤创面面积大于人工测量组和数字 测量组,差异具有统计学意义(P < 0.05),人工测量组和数字测量组组间比较,差异无统计学意义(P > 0.05)。 Pearson 分析结果显示,人工测量组和数字测量组烫伤创面面积存在极显著的正相关关系(r = 0.964,P < 0.01)。结论:数字测量组及人工测量组测得的面积较模具面积小。数字测量与人工测量无明显差异且极相似,且较人工测量 更方便、快捷,有利于为烫伤早期临床液体复苏提供便捷且可靠的参考。

    Abstract:

    AbstractObjective By comparing the digital detection and manual measurement of the same burn wound area in rats, the accuracy of the digital detection method for the measurement of wound area is tested, in order to obtain a simple and accurate measurement method of burn area. Methods According to the requirements of scald model, scald wounds were formed in rats. After the scald wounds were stable, digital images were taken and the wound area was calculated and included in the digital measurement group. The wound was rubbed with thin film, and the area of the wound was measured manually by calculus method and included in the manual measurement group. The vernier caliper was used to measure the inner diameter of the round mold and is included in the mold measurement group. Scald wound integrity and injury were identified, and the three groups of measurement results were compared and analyzed. Results According to the method of making rat scald model, a total of 30 complete scald wounds were obtained and pictures were taken. According to pathological biopsy, 9 cases of shallow II degree scald wounds, 9 cases of deep II degree scald wounds and 12 cases of III degree scald wounds were obtained.The scald wound area of the mold measurement group was larger than that of the manual measurement group and the digital measurement group, and the difference was statistically significant (P < 0.05). There was no statistically significant difference between the manual measurement group and the digital measurement group (P > 0.05). Pearson analysis showed that there was a very significant positive correlation between the scald wound area in the manual measurement group and the digital measurement group (r = 0.964, P < 0.01). Conclusion The digital measurement group and the manual measurement group are smaller than the mold area. There is no obvious difference between digital measurement and manual measurement and they are very similar. Digital measurement is more convenient and rapid than manual measurement, which is conducive to providing convenient and reliable reference for clinical fluid resuscitation in the early stage of scald.

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  • 收稿日期:2022-12-11
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  • 在线发布日期: 2023-06-12
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