桂北地区毒蛇咬伤流行病学调查分析  

Epidemiological investigation and analysis of venomous snake bite in northern Guangxi

作　　者：刘治昆[1] 赵红喜[1] 韦晓东[1] 莫志高 张清 LIU Zhikun;ZHAO Hongxi;WEI Xiaodong;MO Zhigao;ZHANG Qing(Guilin Snakebite Treatment Center of Integrated Traditional Chinese and Western Medicine/Department of Snakebite,Guilin Hospital of Traditional Chinese Medicine,Guilin City,Guangxi Zhuang Autonomous Region,541002,China)

机构地区：[1]桂林市中西医结合蛇伤救治中心/桂林市中医医院蛇伤科,广西桂林541002

出　　处：《蛇志》2024年第4期404-407,415,共5页Journal of Snake

摘　　要：目的调查并分析桂北地区毒蛇咬伤的流行病学特征,为制定和优化该地区毒蛇咬伤防治策略提供科学依据。方法通过回顾性分析,收集2014年1月至2023年12月桂林市中西医结合蛇伤救治中心收治的3607例毒蛇咬伤患者的临床资料,分析致伤毒蛇种类、咬伤季节及时间段、咬伤至就诊时间以及患者年龄、性别、咬伤部位、病情严重程度及预后情况。结果主要致伤毒蛇种类依次为烙铁头蛇、五步蛇和眼镜蛇,高发季节主要为夏秋季(7~9月份),毒蛇咬伤高峰时段集中在上午10点和晚上8点,患者性别分布以男性为主,年龄多集中在31~70岁之间,咬伤部位以四肢最为常见,仅有30.44%的患者在伤后3 h内及时就诊,患者的预后普遍良好。结论通过调查了解桂北地区毒蛇咬伤的流行病学特点,加强毒蛇咬伤的宣传教育,构建应急网络,并强化基层救治能力和充实医疗资源储备等综合措施,有利于提升毒蛇咬伤的整体防治水平。Objective To investigate and analyze the epidemiological characteristics of venomous snake bites in northern Guangxi,in order to provide scientific basis for formulating and optimizing the prevention and control strategy of venomous snake bites in this area.Methods The clinical data of 3607 patients with venomous snake bite treated in Guilin Snakebite Treatment Center of Integrated Chinese and Western Medicine from January 2014 to December 2023 were collected by retrospective analysis.Species of venomous snakes,bite season and time period,time from bite to treatment,age,sex,bite site,severity of disease and prognosis of patients were analyzed.Results The main species of venomous snakes were Trimeresurus mucrosquamatus,Deinagkistrodon acutus,and Naja naja atra.The peak season of venomous snake bites was mainly summer and autumn(July-September),with daily peaks occurring at 10:00 AM and 8:00 PM.The patients were mainly male and aged between 31 and 70 years old,and the most common bite sites were limbs.Only 30.44%of patients could see a doctor in time within 3 h after injury,and the prognosis of patients was generally good.Conclusion To investigate the epidemiological characteristics of venomous snake bites in northern Guangxi,strengthen the publicity and education of venomous snake bites,build emergency network,strengthen the basic treatment capacity and enrich the reserve of medical resources and other comprehensive measures are beneficial to improve the overall prevention and control level of venomous snake bites.

关 键 词：蛇咬伤 毒蛇 流行病学 特点 桂北地区 

分 类 号：R646[医药卫生—外科学]