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目的:探讨三棱针穴位针刺结合挤压手法在北方蝮蛇咬伤救治中的应用价值。方法:2010年6月—2011年9月就诊的60例四肢蝮蛇咬伤患者,随机分为两组,对照组使用抗蝮蛇毒血清及季德胜蛇药片等常规治疗,治疗组在此基础上早期进行患肢穴位三棱针针刺并从近心端自近及远挤压肿胀部位以利毒液排出。比较患者伤后第0(就诊时)～3天的患肢肿胀评分和疼痛评分的变化,皮肤软组织坏死情况、脏器功能损害发生率、凝血功能损害发生率及住院时间。结果:治疗组伤后第1、2、3天患肢肿胀评分和疼痛评分均小于对照组(P<0.05);治疗组并发症发生率少于对照组(P<0.05);组织坏死面积小于对照组(P<0.05)。结论:用三棱针穴位针刺结合挤压手法辅助治疗北方蝮蛇咬伤患者,可显著减少并发症,减轻肿胀、疼痛症状及局部组织坏死,值得推广应用。
Objective: To investigate the value of acupuncture combined with acupuncture of acupoints in acupuncture treatment of northern viper’s snakebite. Methods: From June 2010 to September 2011, 60 patients with limb-snake biting snakebite were randomly divided into two groups. The control group received routine treatment with anti-snake venom serum and Ji-de Sheng snake pills. On the basis of this, Limb acupoints triangular needle acupuncture and from the proximal end near and far squeeze swollen parts to facilitate venom discharge. Changes of limb swelling score and pain score, skin and soft tissue necrosis, incidence of organ dysfunction, incidence of coagulation damage and length of hospital stay at 0th (from the time of treatment) to 3 days were compared. Results: The limb swelling scores and pain scores of the treatment group were less than those of the control group (P <0.05) on the 1st, 2nd, 3rd day after injury. The incidence of complications in the treatment group was less than that in the control group (P <0.05) Control group (P <0.05). CONCLUSION: Acupuncture combined with acupuncture at the acupoints and acupoints to assist the treatment of the patients in the northern viper’s snakebite can significantly reduce the complications, reduce the swelling and pain symptoms and local tissue necrosis, which is worth popularizing and applying.