辅用刺血拔罐疗法对风火毒证蛇咬伤患者血小板及凝血功能的影响

Effect of Auxiliary Blood-pricking and Cupping Therapy on Platelet and Coagulation Function in Patients with Snake Bite with Pattern of Wind-Fire Toxin

目的观察刺血拔罐疗法对风火毒证蛇咬伤患者血小板及凝血功能的影响。方法将106例风火毒证蛇咬伤患者随机分为对照组和治疗组,每组53例。两组均给予蛇咬伤常规治疗,对照组予季德胜蛇药片治疗,治疗组在对照组基础上加用刺血拔罐疗法。两组患者治疗前后分别检测血常规、凝血功能,并观察两组临床疗效。结果治疗组临床疗效明显优于对照组(P<0.05)。治疗组治疗前后血小板、凝血酶原时间改善程度优于对照组(P<0.05)。治疗组凝血功能异常转化率明显低于对照组(P<0.05)。结论辅用刺血拔罐疗法能改善风火毒证蛇咬伤患者血小板及凝血功能,提高临床疗效。

Objective To investigate the effect of auxiliary blood-pricking and cupping therapy on platelet and coagulation function in patients with snake bite with pattern of wind-fire toxin. Methods A total of 106 patients with snake bite with pattern of wind-fire toxin were randomly divided into control group and treatment group, with 53 patients in each group. Both groups were given conventional treatment of snake bite; the patients in the control group were given Ji Desheng antivenornous tablets, and those in the treatment group were given blood-pricking and cupping therapy in addition to the treatment in the control group. Routine blood test was performed and coagulation function was measured before and after treatment, and the clinical outcome was observed for both groups. Results The treatment group had a significantly better clinical outcome than the control group （P〈0.05）. Compared with the control group, the treatment group had significantly greater improvements in platelet and prothrombin time after treatment （P〈0.05）. The treatment group had a significantly lower conversion rate of coagulation disorders than the control group （P〈0.05）. Conclusion In patients with snake bite with pattern of wind-fire toxin, blood-pricking and cupping therapy can improve platelet, coagulation function, and clinical outcome.