中西医结合治疗蛇伤致弥散性血管内凝血的临床研究

Clinical Research of Combine Traditional Chinese and Western Medicine on Patients with DIC Bitten by Snake

目的:观察蛇毒清汤联合西医措施对蛇伤致弥散性血管内凝血(DIC)的临床疗效。方法:选取江门市新会区中医院2014年3月至2017年11月收治的60例毒蛇咬伤致DIC患者,分为对照组和观察组,两组均给予西医措施,观察组加服蛇毒清汤,而对照组加用静滴维生素K1。观察比较两组蛇伤致DIC患者在治疗后临床症状的缓解情况和凝血功能、肌酸激酶、肌酐等实验指标改善情况。结果:治疗后两组患者的临床症状较前有改善,差异具有统计学意义(P<0.05);观察组临床有效率、实验指标改善均好于对照组,差异具有统计学意义(P<0.05)。结论:蛇毒清汤联合西医措施对蛇伤致DIC患者有显著疗效。

Objective To observe the clinical efficiency of Snake-venoms Qingtang on patients with DIC bitten by snake.Methods Sixty patients with DIC caused by snake bites were selected from March 2014 to November 2017 in Xinhui District Hospital of Jiangmen City.They were divided into control group and observation group.Both groups were given Western medicine measures.The observation group was given venom broth.In the control group,intravenous vitamin K1 was added.The clinical symptoms and the improvement of blood coagulation function,muscle enzyme and creatinine were compared between the two groups of snake DIC patients.Results After treatment,the clinical symptoms of the two groups were improved,and the difference was statistically signifi cant(P<0.05).The clinical effective rate and improvement of experimental indexes in the observation group were better than those in the control group,and the difference was statistically signifi cant(P<0.05).Conclusion The effi ciency of Snake-venoms Qingtang for patients with DIC bitten by snake was conspicuous.