毒蛇咬伤的急诊处理及临床诊治研究

Study on emergency treatment and clinical diagnosis and treatment of venomous snake bite

目的 分析毒蛇咬伤后的急诊处理措施及诊治效果。方法 80例毒蛇咬伤的患者作为本研究对象,按抽签法分为参考组和研究组,每组40例。参考组采取常规急诊处理方式,研究组在参考组基础上应用负压吸引方式。比较两组患者治疗效果、疼痛情况、肿胀情况和总体满意度。结果 研究组患者治疗总有效率90.00%相较于参考组的72.50%更高,差异有统计学意义(P<0.05)。治疗0.5 h两组患者疼痛评分差异无统计学意义(P>0.05);治疗1~3 d,研究组患者疼痛评分分别为(4.33±0.92)、(3.58±0.52)、(2.13±0.38)分,较参考组的(5.21±0.84)、(4.37±0.67)、(4.00±0.45)分更低,差异有统计学意义(P<0.05)。治疗0.5 h两组患者肿胀评分差异无统计学意义(P>0.05);治疗1~3 d,研究组患者肿胀评分分别为(1.15±0.33)、(0.95±0.17)、(0.69±0.15)分,较参考组的(1.76±0.24)、(1.24±0.22)、(0.93±0.13)分更低,差异有统计学意义(P<0.05)。研究组患者对治疗的总体满意度90.00%相较于参考组的67.50%更高,差异有统计学意义(P<0.05)。结论 毒蛇咬伤后需要及时进行急诊处理,在此基础上配合负压吸引方式治疗能够改善患者疼痛、肿胀情况,有利于进一步提升治疗效果,患者满意度较为理想。

Objective To analyze the emergency treatment measures and clinical diagnosis and treatment effect after venomous snake bite.Methods 80 cases of patients bitten by poisonous snakes were screened as the subjects of this study,and they were divided into the reference group and the study group according to lottery method,with 40 cases in each group.The reference group adopted conventional emergency treatment,and the research group applied vacuum aspiration based on the reference group.Treatment effect,pain,swelling and overall satisfaction were compared between the two groups.Results The total effective rate of 90.00% in the study group was higher than that of 72.50% in the reference group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in pain scores between the two groups after 0.5 h of treatment(P>0.05).After 1-3 d of treatment,the pain scores in the study group were(4.33±0.92),(3.58±0.52)and(2.13±0.38) points,which were lower than those of(5.21±0.84),(4.37±0.67) and(4.00±0.45) points in the reference group,and the difference was statistically significant(P<0.05).There was no significant difference in swelling score between the two groups after 0.5 h of treatment(P>0.05).After 1-3 d of treatment,the swelling scores were(1.15±0.33),(0.95±0.17) and(0.69±0.15) points in the study group,which were lower than those of(1.76±0.24),(1.24±0.22) and(0.93±0.13) points in the reference group,and the difference was statistically significant(P<0.05).The overall satisfaction of patients in the study group was 90.00%,which was higher than that of 67.50% in the reference group,and the difference was statistically significant(P<0.05).Conclusion Venomous snake bites need timely emergency treatment,on this basis with negative pressure suction treatment can improve the patient's pain and swelling,which is conducive to further improving the treatment effect,and the patient satisfaction is more satisfactory.