基于“火郁发之”理论探讨火针散刺放血对青竹蛇咬伤患者凝血功能的影响  

Effects of Fire-needle Powder Pricking and Bloodletting Therapy on Coagulation Function of Patients with Trimeresurus Stejnegeri Bites Based on Theory of Releasing Stagnated Fire

作　　者：车艳楠[1] 翁妍珊 曾林生[1] 曾仲意[1] 刘禹翔[1] Che Yannan;Weng Yan-shan;Zeng Linsheng;Zeng Zhongyi;Liu Yuxiang(Shenzhen Traditional Chinese Medicine Hospital,Guangdong,Shenzhen 518033.China)

机构地区：[1]广东省深圳市中医院,广东深圳518033

出　　处：《中国中医急症》2020年第7期1184-1187,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：深圳市卫生计生系统科研项目(SZFZ2018012)。

摘　　要：目的观察火针散刺放血疗法对青竹蛇咬伤患者凝血功能的影响并探讨其作用机制。方法 130例患者随机分为观察组和对照组两组各65例。对照组给予常规的蛇伤治疗方案,观察组在对照组治疗的基础上,加用火针散刺放血疗法,疗程均为3 d。在治疗前、治疗后72 h抽血检测患者凝血功能,并观察两组患者治疗前及治疗后24、72 h的肢体肿胀程度及肿胀消退时间等指标。结果两组患者被青竹蛇咬伤后都表现出一定程度的凝血时间延长。两组治疗前凝血功能差别不大(P> 0.05),治疗72 h后,两组凝血功能均优于治疗前(均P<0.05),均逐渐恢复,且观察组治疗72 h后凝血酶时间(TT)、凝血酶原时间(PT)、活化部分凝血酶时间(APTT)、纤维蛋白原(Fib)与对照组比较均改善(均P<0.05)。两组治疗前的肢体肿胀程度比较差别不大(P>0.05)。治疗24、72 h后,观察组肢体肿胀程度均较对照组明显改善(均P<0.05)。观察组肢体肿胀消退时间快于对照组(P<0.05)。结论火针散刺放血能明显改善青竹蛇咬伤患者凝血功能及肢体肿胀程度,可明显缩短病程。Objective:To observe the effects of Fire-needle Powder pricking and bloodletting therapy on coagulation function of patients with Trimeresurus Stejnegeri bites. Methods:130 patients were randomly divided into the treatment group and the control group,65 cases in each. The control group was given conventional treatment.On the basis of conventional therapy,the treatment group was treated with fire needle powder pricking and bloodletting therapy. Before and after 72 hours′ treatment,all the patients′ coagulation function were tested. The degree of patients′ limbs swelling before and after treatment for 24 h and 72 h,and time of swelling subsidence were observed. Results:Both groups showed a certain degree of prolongation of coagulation time after being bitten by Trimeresurus Stejnegeri. After 72 h′s treatment,the differences of TT,PT,APTT and Fib between the two groups were statistically significant(P< 0.05). The degree of limb swelling in the two groups was significantly improved after 24 h and 72 h treatment,with statistical significance(P< 0.05). The regression time of limb swelling in the observation group was significantly faster than that of the control group(P< 0.05). Conclusion:Fire-needle Powder pricking and bloodletting therapy can significantly improve the coagulation function and swelling degree of limbs in patients with Trimeresurus Stejnegeri Bites,which makes the patients recover quickly.

关 键 词：青竹蛇咬伤 凝血功能 肿胀 火针 散刺放血 

分 类 号：R646[医药卫生—外科学]