深圳地区胡蜂蜇伤临床特征与中医证型分布  

Clinical Characteristics and Distribution of Traditional Chinese Medicine Syndrome Types of Hornet Sting in Shenzhen Area

作　　者：廖宪勇 高建华 曾仲意[1] 曾林生[1] 莫之准 Liao Xianyong;Gao Jianhua;Zeng Zhongyi;Zeng Linsheng;Mo Zhizhun(The Fourth Clinical Medical College,Guangzhou University of Chinese Medicine,Guangdong,Shenzhen 518033,China)

机构地区：[1]广州中医药大学第四临床医学院,广东省深圳市中医院,广东深圳518033

出　　处：《中国中医急症》2024年第8期1413-1417,共5页Journal of Emergency in Traditional Chinese Medicine

基　　金：深圳市中医重点专科建设项目(深卫健中医[2019]22号);深圳市科技创新委员会基础研究(面上项目)(JCYJ20220531092009021)。

摘　　要：目的调查深圳地区的胡蜂蜇伤者的临床资料,分析其临床特点与中医证型分布规律,为中西医结合治疗蜂蜇伤提供临床参考。方法回顾性分析2021年1月至2023年12月在广东省深圳市中医院急诊科就诊的胡蜂蜇伤患者的临床资料,总结其临床特点及中医证型分布规律。结果1)1109例急诊蜂蜇伤患者中女性(51.58%)稍多于男性。不同性别在各年龄段蜂蜇伤发生率不均匀,男性患者多发生在儿童期及青年期,女性患者则在各年龄段分布较为均衡。2)83.41%急诊蜂蜇伤患者受伤部位为四肢及头面部,蜇伤处局部肿胀(904例)、疼痛(867例)、皮肤发红(544例)是最常见的症状。3)急诊蜂蜇伤患者中医证型由高到低分别为火毒证(65.64%)、风火毒证(17.94%)、风毒证(6.49%)、瘀毒证(9.11%)、无症状者(0.81%)。4)21例住院蜂蜇伤患者的中医证型分布情况为风火毒证(80.95%)、火毒证(14.29%)、风毒证(4.76%)、瘀毒证(0%)。结论深圳地区的蜂蜇伤急诊患者中医证型主要以火毒证为主,临床症状多表现为红肿、疼痛,住院患者则以风火毒证为主,多表现为红肿、疼痛及头晕。中医证型分布与年龄、性别具有相关性,且不同中医证型的年龄、性别分布规律不同。Objective:To investigate the clinical data of hornet sting victims in the Shenzhen area,analyze their clinical characteristics and distribution of TCM syndrome types,providing clinical reference for the integrated treatment of hornet stings in TCM and western medicine.Methods:Retrospective analysis was conducted on the clinical data of patients with hornet stings who visited the Emergency Department of Shenzhen Hospital of Traditional Chinese Medicine in Guangdong Province from 2021 to 2023,summarizing their clinical characteristics and distribution of TCM syndrome types.Results:1)Among 1109 emergency cases of hornet stings,females(51.58%)slightly outnumbered males.The incidence rates of stings in different genders varied across age groups,with male patients predominantly affected during childhood and adolescence,while female patients were more evenly distributed across all age groups.2)83.41%of the emergency cases of hornet stings occurred in the limbs,head,and face,with local swelling(904 cases),pain(867 cases),and skin redness(544 cases)being the most common symptoms.3)The distribution of TCM syndrome types among emergency cases of hornet stings,from highest to lowest,were Fire-Toxin syndrome(65.64%),Wind-Fire-Toxin syndrome(17.94%),Wind-Toxin syndrome(6.49%),Stagnation-Toxin syndrome(9.11%),and asymptomatic cases(0.81%).4)Among 21 hospitalized cases of hornet stings,the distribution of TCM syndrome types was Wind-Fire-Toxin syndrome(80.95%),Fire-Toxin syndrome(14.29%),Wind-Toxin syndrome(4.76%),and no cases of Stagnation-Toxin syndrome.Conclusion:The main TCM syndrome among emergency patients with hornet stings in the Shenzhen area is Fire-Toxin syndrome,with clinical symptoms mainly manifested as redness,swelling,and pain.Hospitalized patients primarily present with Wind-Fire-Toxin syndrome,commonly showing symptoms of redness,swelling,pain,and dizziness.The distribution of TCM syndrome types is correlated with age and gender,and different TCM syndromes exhibit distinct distribution patterns regarding age an

关 键 词：蜂蜇伤 中医证型 临床特点 深圳地区 

分 类 号：R757.9[医药卫生—皮肤病学与性病学]