水胶体透明贴治疗竹叶青蛇咬伤致患者肢体肿痛的效果研究

Effect of hydrocolloid transparent dressing on limb swelling and pain caused by bite of Trimeresurus stejnegeri

目的比较水胶体透明贴和硫酸镁纱布湿敷治疗竹叶青蛇咬伤致肢体肿痛的效果。方法选择2017年1月至2018年10月湛江中心人民医院收治的竹叶青蛇咬伤患者119例,按照就诊日期单双号分为试验组67例和对照组52例。对照组在常规治疗基础上采用50%硫酸镁纱布持续湿敷,试验组在常规治疗的基础上采用水胶体透明贴敷贴肿胀部位,均连续治疗5 d。比较两组患者患肢肿胀程度、疼痛程度、舒适度、便利度和不良反应发生率。结果在患肢肿胀消退程度中,试验组和对照组干预后1 d[(2.27±0.77)cm vs(1.74±0.61)cm]、3 d[(2.61±0.72)cm vs(1.80±0.57)cm]、5 d[(2.94±0.67)cm vs(1.87±0.56)cm]比较差异均有统计学意义(P<0.05);在患肢疼痛减轻程度中,试验组和对照组干预后1 d[(1.57±0.58)分vs(1.02±0.31)分]、3 d[(1.80±0.57)分vs(2.24±0.58)分]、5 d[(1.87±0.56)分vs(1.38±0.53)分]比较差异均有统计学意义(P<0.05);试验组使用舒适度和便利度得分平均秩次分别为66.75、71.81,明显多于对照组的51.30、44.78,差异均有统计学意义(P<0.05);两组患者均无全身及局部不良反应发生。结论与硫酸镁湿敷比较,水胶体透明贴可以有效减轻竹叶青蛇咬伤患肢的肿痛症状,使用方便、安全,值得推广应用。

Objective To study on the effect of hydrocolloid transparent dressing on limb swelling and pain caused by bite of Trimeresurus stejnegeri. Methods A total of 119 patients with bite of Trimeresurus stejnegeri who received therapy from January 2017 to October 2018 in Zhanjiang Central People’s Hospital were selected. According to the date of consultation, they were divided into the experimental group(67 cases) and the control group(52 cases). The control group was treated with 50% magnesium sulfate wet compress on the basis of routine treatment, while the experimental group was treated with hydrocolloid transparent dressing on the swelling site on the basis of routine treatment,continuously for 5 days. The degree of swelling, pain, comfort, convenience, and incidence of adverse reactions were compared between the two groups. Results In the degree of swelling regression of the affected limb, there were statistically significant difference between the experimental group and the control group on day 1, day 3, day 5 after intervention(P<0.05): day 1,(2.27±0.77) cm vs(1.74±0.61) cm;day 3,(2.61±0.72) cm vs(1.80±0.57) cm;day 5,(2.94±0.67) cm vs(1.87±0.56) cm. In the degree of pain relief, the two groups also showed statistically significant difference on day 1,day 3, day 5 after intervention(P<0.05): day 1,(1.57 ± 0.58) points vs(1.02 ± 0.31) points;day 3,(1.80 ± 0.57) points vs(2.24±0.58) points;day 5,(1.87±0.56) points vs(1.38±0.53) points. The mean rank of the comfort and convenience scores in the experimental group were 66.75 and 71.81, which were significantly more than 51.30 and 44.78 in the control group(P<0.05). There were no systemic or local adverse reactions occurred in both groups. Conclusion Compared with magnesium sulfate wet compress, hydrocolloid transparent dressing can effectively alleviate the limb swelling and pain caused by bite of Trimeresurus stejnegeri, which is easy to use and safe, and is worthy of popularization and application.