摘要
目的观察刺血拔罐法对蝮蛇咬伤后患者肢体肿胀的治疗效果。方法 72例患者按随机数字表法分为两组,对照组给予局部清创处理和内科综合治疗,治疗组在对照组基础上配合刺血拔罐,每日1次。观察并记录两组患者治疗前、治疗第4天、第7天肢体肿胀程度、疼痛指数、治疗前、治疗第7天乳酸脱氨酸(LDH)、肌酸肌酶(CK)、肌酸肌酶同工酶(CK-MB)的数值变化及住院时间。结果两组治疗前肿胀程度比较差别不大(P>0.05)。两组治疗后第4天、7天肿胀程度较治疗前均减轻(均P<0.01),治疗组治疗第7天肿胀程度较咬伤第4天明显减轻(P<0.01),对照组咬伤第7天与第4天比较也明显减轻(P<0.05)。治疗组治疗第4天、第7天肿胀程度小于对照组同期(P<0.05);两组治疗后第4、7天疼痛较治疗前均减轻(均P<0.01),治疗组治疗第7天疼痛程度较咬伤第4天明显减轻(P<0.01),对照组咬伤第7天与第4天疼痛比较也明显降低(P<0.05)。治疗组治疗第4、7天疼痛指数小于对照组同期(P<0.05),治疗组住院天数少于对照组(P<0.05);两组治疗后CK、CK-MB、LDH均较治疗前有明显下降(P<0.01或P<0.05),且治疗组CK、CK-MB、LDH水平优于对照组(P<0.01)。结论刺血拔罐法对蝮蛇咬伤后减轻肢体肿胀疗效显著,能够促进心肌酶早期恢复正常,能明显减轻患者疼痛,缩短住院天数,从而减少住院费用。
Objective： To observe thorn blood cupping method for the treatment of patients with limb swelling after the viper bites. Methods： 72 patients bitten by agkistrodon halys were randomly divided into two groups. The control group was given local debridement and internal medicine comprehensive treatment. The treatment group was given blood cupping therapy once a day on the basis of the control group. The limb swelling degree and pain index in the two groups before the treatment,on the 4^th day and 7^th day of the treatment were observed and recorded. The numerical change on LDH,CK,CK-MB before the treatment and on the 7^th day of the treatment and the length of hospital stay were observed and recorded. Results： There was no significant difference on the limb swelling degree of the two groups before the treatment （P〉0.05）. The limb swelling degree was alleviated in the two groups on the 4^th day and 7^th day of the treatment（all P〈 0.01 ）. The limb swelling degree was significantly better on the 7^th day than it was on the 4^th day in the treatment group （P〈 0.01 ）. The limb swelling degree was significantly better on the 7^th day than it was on the 4^th day in the control group（P〈 0.05）. The limb swelling degree on the 4th day and 7^th day of the treatment in the treatment group was better than that in the control group （P〈 0.05）. The pain index was lower in the two groups on the 4^th day and 7^th day of the treatment （all P〈0.01）. The pain index was significantly better on the 7^th day than it was on the 4^th day in the treatment group （P〈 0.01 ）. The pain index was significantly better on the 7^th day than it was on the 4^th day in the control group （P〈 0.05）. The pain index on the 4^th day and 7^th day of the treatment in the treatment group was better than that in the control group （P 〈 0.05 ）. The length of hospital stay in the treatment group was shorter than that in the control group （P 〈 0.05 ）. LDH, CK, CK-MB levels were all decreased significantly in the two groups after the treatment （all P〈 0.01 Or P〈 0.05）. And LDH,CK, CK-MB levels in the treatment group were superior to those in the normal group （P〈 0.01 ）. Conclusion： It has significant curative effect to use blood cupping method to alleviate limb swelling after the viper bites. It can help the myocardial enzyme return to normal at early stage, obviously relieve patients＇ pain and shorten the hospitalization days ,thus reducing hospitalization expenses.
出处
《中国中医急症》
2017年第1期115-117,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
安徽中医药大学校青年科学研究基金(2014qn029)
关键词
蝮蛇咬伤
肢体肿胀
刺血拔罐
Viper bites
Limb swelling
Thorn blood cupping therapy
