莆田地区326例毒蛇咬伤流行特征分析

Analysis of epidemiological characteristics of 326 cases of snake bites in Putian area

目的：分析莆田地区的毒蛇咬伤的流行特征。方法：对326 例毒蛇咬伤患者的资料进行分析。结果：毒蛇咬伤人群以20～59 岁年龄组为主，蛇工冬季发生毒蛇咬伤比例最高，毒蛇咬伤的高发部位为四肢，尤其以下肢多见，夏、秋季节是高发季节。莆田地区毒蛇咬伤的种类以竹叶青蛇为主，毒蛇咬伤的严重程度及预后与院前急救措施及就诊时间有很大关系。结论：掌握毒蛇咬伤的特点，采取积极、正确、有效的治疗措施，可有效降低致死、致残率。

Objective:To analyze the epidemiological characteristics of snake bites in Putian area.Methods:The data of 326patients with snake bites were analyzed.Results:The snake bites people given priority to the people of 20 to 59 years old age group.The snake workers occurred snake bites in winter with the highest proportion.The snake bites high-risk areas were four limbs,especially in the lower extremities.Summer and autumn were the seasons of high incidence.The types of snake bites in Putian areawere mainly trimeresurus stejnegeri.The severity and prognosis of snake bites had great relationship with pre-hospital emergencymeasures and treatment time.Conclusion:Grasping the characteristics of snake bites,taking positive,correct and effective treatmentmeasures can effectively reduce the mortality and disability rate.