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        不同治療方案對蛇咬傷后患肢腫脹的臨床療效比較

        2019-10-08 06:36:02牟天易曹小平陽雪梅李志恒尹松林
        醫(yī)學(xué)信息 2019年5期

        牟天易 曹小平 陽雪梅 李志恒 尹松林

        摘要:目的? 觀察不同治療方案對蛇咬傷后患肢腫脹的療效,為臨床提供最佳的治療方案。方法? 選取我科收治的毒蛇咬傷后患肢腫脹的患者120例,將其隨機(jī)分為A組(常規(guī)治療組),B組(常規(guī)治療+活動患肢),C組(常規(guī)治療+活動患肢+患肢行小切口),D組(常規(guī)治療+活動患肢+患肢行大切口),每組30例。比較4組患者患肢疼痛程度、腫脹消退時間、住院時間、住院費(fèi)用情況。結(jié)果? ①A、B、C、D 4組患肢疼痛程度評分分別為(3.26±0.44)分、(4.58±0.48)分、(6.44±0.32)分、(8.15±0.28)分;A組患肢疼痛最輕,D組最重。②4組患肢腫脹消退時間分別為(11.32±1.22)d、(7.42±0.92)d、(5.00±0.74)d、(3.44±0.52)d;D組腫脹消退最快,A組腫脹消退最慢。③4組住院時間分別為(11.46±1.07)d、(7.48±0.85)d、(14.32±1.69)d、(21.69±2.65)d,住院費(fèi)用分別為(0.88±0.10)萬元、(0.60±0.07)萬元、(1.41±0.16)萬元、(3.25±0.37)萬元,B組住院時間最短且住院費(fèi)用最低。結(jié)論? 常規(guī)治療聯(lián)合活動患肢,對蛇咬傷后非骨筋膜室綜合征的患肢腫脹治療可能是最佳治療方案。

        關(guān)鍵詞:蛇咬傷;肢體腫脹;疼痛程度評分

        中圖分類號:R453.9? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?文獻(xiàn)標(biāo)識碼:A? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?DOI:10.3969/j.issn.1006-1959.2019.05.037

        文章編號:1006-1959(2019)05-0119-03

        Abstract:Objective? To observe the effect of different treatment regimens on the swelling of the affected limb after snake bite, and to provide the best treatment for the clinic. Methods? A total of 120 patients with swollen limbs after the snake bite in our department were randomly divided into group A (conventional treatment group), group B (conventional treatment + active limb), group C (conventional treatment + active disease) Limb + limbs with small incision), group D (conventional treatment + active limb + large limb incision), 30 cases in each group. The degree of pain in the limbs, the time to resolve the swelling, the length of hospital stay, and the cost of hospitalization were compared between the four groups. Results? ①The scores of pain in the A, B, C, and D groups were (3.26±0.44), (4.58±0.48), (6.44±0.32), and (8.15±0.28), respectively.Group A suffered the least pain in the affected limb and the D group was the heaviest. ②The swelling time of the affected limbs in the 4 groups was (11.32±1.22) d, (7.42±0.92) d, (5.00±0.74) d, (3.44±0.52) d; the swelling in group D was the fastest, and the swelling in group A was the slowest.③The hospitalization time of 4 groups was (11.46±1.07)d, (7.48±0.85)d, (14.32±1.69)d, (21.69±2.65)d, the hospitalization expenses were (0.88±0.10) ten thousand dollars, (0.60±0.07) ten thousand dollars, (1.41±0.16) ten thousand dollars, and (3.25±0.37) ten thousand dollars. Group B had the shortest hospital stay and the lowest hospitalization expenses. Conclusion? Conventional treatment combined with active limbs may be the best treatment for the treatment of limb swelling in non-elastic compartment syndrome after snake bite.

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