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【目的】比较常规治疗与加用双柏散外敷治疗血循毒蛇伤患者伤肢的疗效。【方法】将100例血循毒蛇咬伤患者随机分为治疗组和对照组各50例。对照组采用常规治疗方法(包括双氧水反复冲洗伤口,扩大创口、放血排毒,糜蛋白酶局部封闭,硫酸镁湿敷患肢,注射抗蛇毒血清、抗破伤风抗毒素、抗生素、速尿、能量合剂等全身综合用药),治疗组在常规治疗的基础上加用双柏散外敷伤肢治疗。2组患者同时均给予包括心理护理、伤口护理、饮食护理、通便问题护理及功能护理等综合护理措施。比较2组患者伤肢的肿胀消退时间及疼痛程度的模拟评分(VAS)情况。【结果】(1)治疗后,治疗组患者伤肢的肿胀消退时间均短于对照组,差异均有统计学意义(P<0.05)。(2)治疗4 d后及疗程结束后,2组患者VAS值均较治疗前明显降低(P<0.05),且在治疗4 d后治疗组的降低作用优于对照组,差异有统计学意义(P<0.05)。【结论】常规治疗方法加用双柏散外敷可显著缩短伤肢肿胀消退时间和有效缓解疼痛程度,是治疗血循毒蛇伤的有效方法。
【Objective】 To compare the curative effect of conventional treatment and Shuangbai San external application in the treatment of injured limbs of blood snake venomous snake wounds. 【Methods】 100 cases of snake venomous snake bite patients were randomly divided into treatment group and control group of 50 cases. The control group was treated by routine treatment including repeated washing of the wound with hydrogen peroxide, widening of the wound, excretion of blood and detoxification, partial closure of the chymotrypsin, immersion of limbs with magnesium sulfate wetting, injection of anti-venom serum, anti-tetanus antitoxin, antibiotics, furosemide and energy mixture Comprehensive treatment), the treatment group on the basis of conventional treatment plus double Parkinson’s external injury limb treatment. The two groups of patients were also given comprehensive care measures including psychological nursing, wound care, diet nursing, laxative nursing and functional nursing. The two groups of patients with the swelling of the limb swelling and pain score of the simulated score (VAS) situation. 【Results】 (1) After treatment, the swollen and dissipated time of the injured limb in the treatment group was shorter than that in the control group, with statistical significance (P <0.05). (2) After 4 days of treatment and after the end of treatment, the VAS values of the two groups were significantly lower than those before treatment (P <0.05), and the reduction effect of the treatment group was better than that of the control group after 4 days of treatment, the difference was statistically significant (P <0.05). 【Conclusion】 The conventional treatment combined with Shuangbai San external application can significantly reduce the swelling and subsidence time of the injured limbs and relieve the pain effectively. It is an effective method for the treatment of snake venom wounds.