不同护理方法对毒蛇咬伤局部刺络中药围敷疗效的影响  

Effects of different medical care on efficacy of Chinese encircles spreads for local puncturing caused by snakebite

作　　者：李慧[1] 肖春玲[1] 周静[1] 宋秀[1] 冯健兰[1] 

机构地区：[1]深圳市中医院急诊科,518033

出　　处：《护理实践与研究》2010年第15期32-33,共2页Nursing Practice and Research

基　　金：深圳市科技局项目;编号:200903157

摘　　要：目的:探讨不同护理方法对毒蛇咬伤局部刺络中药围敷疗效的影响,为本治疗方案提供最佳护理措施。方法:将82例病人随机分为观察组和对照组各41例,观察组采用改良敷料换药和中药围敷后使用肢体托,对照组采用传统方法换药和中药围敷。结果:观察组无1例发生局部刺络伤口污染,而对照组局部刺络伤口均被污染,观察组皮肤不良反应发生2例(4.88%)明显低于对照组22例(53.66%),观察组肿胀消退时间101h明显优于对照组144h,止痛时间和住院时间观察组优于对照组。结论:改良敷料换药和中药围敷后使用肢体托可显著提高疗效。Objective： To explore effects of different medical care on efficacy of Chinese encircles spreads for local puncturing caused by snakebite and provide optimal medical care for the treatment protocol. Methods ： 82 patients were classified into observation group and control group with 41 patients for each respectively. Patients in observation group were treated with limb supporter after application of improved dressing and Chinese encircles spreads, while patients in control group were done with traditional dressing application and Chinese encircles spreads. Results ： No patient was found with contamination of local puncturing wound in observation group, while no patient was not found with contamination of local puncturing wound in control group ; Occurrence rate of skin ADR in observation group -2 cases （4.88%） was significantly lower than that in control group -22 cases （53.66%）. Regression time of swelling in observation group - 101 h was significantly superior to that in control group - 144 h. Time of alleviating pain and hospitalization in observation group were significantly less than those in control group （ P 〈 0.01 ）. Conclusion ： It is observed that efficacy was significantly improved with treatment of limb supporter after application of improved dressing and Chinese encircles spreads.

关 键 词：改良敷料 肢体托 毒蛇咬伤 局部刺络 中药围敷 

分 类 号：R473.6[医药卫生—护理学]