蝮蛇解毒汤治疗蝮蛇咬伤100例临床观察  

Clinical Observation on 100 Cases with Viper Bites Treated by Viper Anti-snakebite Decoction

作　　者：陈海东[1] 龚旭初[1] 李逸梅[2] 

机构地区：[1]南通市中医院中医外科,南通226000 [2]南京中医药大学,南京210023

出　　处：《世界中医药》2016年第12期2604-2607,共4页World Chinese Medicine

基　　金：江苏省中医药管理局重点项目(编号:ZD201510);南通市卫生局青年科研基金项目(编号:WQ2014054)

摘　　要：目的:探讨蝮蛇解毒汤对蝮蛇咬伤患者的临床疗效观察。方法:收集2015年5月至2015年10月在南通市中医院因蝮蛇咬伤住院患者100例,随机分为2组(A、B组),A组为西医常规治疗组(抗蝮蛇毒血清、激素、抗生素等西医常规治疗),B组在西医常规治疗上加用蝮蛇解毒汤口服,纪录观察2组患者年龄、性别、咬伤部位、病程、患肢疼痛计分、肿胀情况,比较2组在观察记录指标上有无差异。结果:2组患者在年龄、性别、咬伤部位、病程差异无统计学意义(P>0.05);B组患者在观察点的患肢疼痛计分、肿胀消退情况与A组患者差异有统计学意义(P<0.01),结果提示B组治疗优于A组。结论:蝮蛇解毒汤对蝮蛇咬伤患者有积极治疗作用。Objective：To observe the curative effect of Viper Anti-snakebite Decoction on viper bites.Methods：A hundred cases of hospitalized patients for viper bites from May 2015 to October 2015in the hospital were collected and randomly divided into two groups （group A ＆group B）.Patients in group A received conventional western medicine treatment （namely viper venom,hormones,antibiotics and other western medicine treatment）,while patients in the B group were additionally given Viper Anti-snake-bite Decoction on basis of group A treatment.Age,gender,location,duration,score of phantom pain,and swelling condition of patients in the two groups were recorded and observed.Differences between the two groups in the recorded indexes were compared. Results：There was no significant statistical difference in age,gender,location and duration between the two groups （P 〉0.05）. phantom pain score and swelling improvement of patients in B group showed statistically significant difference compared with group A（P 〈0.01）,indicating therapy for group B was better than that of group A.Conclusion：Viper Anti-snakebite Decoction has a positive therapeutic effect for viper bites patients.

关 键 词：蝮蛇解毒汤 蝮蛇咬伤 中药干预 

分 类 号：R285.6[医药卫生—中药学]