[1]李铀氢,孙妍.两种压力固定技术对原矛头蝮蛇咬伤后患肢肿胀的影响[J].军事护理,2022,39(02):98-100.[doi:10.3969/j.issn.1008-9993.2022.02.025]
　LI Youqing,SUN Yan.Clinical Effects of Two Pressure Immobilization Technique on Limb Swelling Caused by Protobothrops Mucrosquamatus Bites[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(02):98-100.[doi:10.3969/j.issn.1008-9993.2022.02.025]
点击复制

两种压力固定技术对原矛头蝮蛇咬伤后患肢肿胀的影响
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年02期
页码:
98-100
栏目:
技术与方法
出版日期:
2022-02-15

文章信息/Info

Title:
Clinical Effects of Two Pressure Immobilization Technique on Limb Swelling Caused by Protobothrops Mucrosquamatus Bites
文章编号:
1008-9993(2022)02-0098-03
作者:
李铀氢; 孙妍
(四川省医学科学院·四川省人民医院 急诊科,四川 成都 610072)
Author(s):
LI Youqing;  SUN Yan
(Department of Emergency, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital,Chengdu 610072, Sichuan Province, China)
关键词:
压力固定技术;  毒蛇咬伤;  肿胀;  舒适
Keywords:
pressure immobilization technique;  venomous snake bite;  swelling;  comfortable
分类号:
R472.2
DOI:
10.3969/j.issn.1008-9993.2022.02.025
文献标志码:
A
摘要:
目的 探讨两种压力固定技术对原矛头蝮蛇咬伤后患肢肿胀的影响,为临床工作者更准确地应用压力固定技术提供参考。方法 2019年3月至2020年12月,采用便利抽样选取某三级甲等医院急诊外科收治的原矛头蝮蛇咬伤患者95例为研究对象,按住院号单双号将其分为对照组(n=46)和观察组(n=49)。在急诊预检分诊处,对照组给予常规压力绷带固定,而观察组给予压力垫固定。两组患者均采用常规治疗与护理方案。比较两组患者入院时、固定后24 h患肢肿胀情况、疼痛及舒适度评分。结果 两组患者入院时患肢肿胀情况(范围、程度)、疼痛、舒适度等评分差异均无统计学意义(均P>0.05)。固定后24 h,除对照组舒适度低于入院时(P<0.05)外,两组患者的其余指标均优于入院时(均P<0.05); 且对照组肿胀范围评分优于观察组(P<0.05); 而观察组疼痛及舒适度评分均优于对照组,差异均有统计学意义(P<0.05或P<0.01)。结论 两种压力固定技术对改善原矛头蝮蛇咬伤患者的患肢肿胀程度效果相当,但压力绷带法改善患肢肿胀范围的效果更好,而压力垫法更舒适。
Abstract:
Objective To observe the effect of two kinds of pressure immobilization technique on protobothrops mucrosquamatus bitten by the influence of limb swelling.Methods From March 2019 to December 2020, 95 patients with protobothrops mucrosquamatus bite were selected from the Emergency Department of a tertiary A hospital.According to the method of random number table, they were divided into control group(n=46)and observation group(n=49).Each group was fixed with the corresponding pressure immobilization method at the emergency triage, routine treatment and nursing plan were adopted in each group.After 24 hours, the limb swelling range, swelling degree and comfort status of the patients in the two groups were compared.Results There were no significant differences in the swelling(range and degree), pain and comfort scores of the affected limb between 2 groups at admission(all P>0.05).24 h after immobilization, the comfort level of the control group was lower than that on admission(P<0.05), but other indexes of the two groups were better than that on admission(all P<0.05).The swelling range score of the control group was better than that of the observation group(P<0.05).The pain and comfort scores of the observation group were better than those of the control group, the differences were statistically significant(P<0.05 or P<0.01).Conclusions Two pressure immobilization techniques had the same effect on improving the swelling degree, the pressure bandage method is better in terms of improving the swelling range, and the pressure pad method is more comfortable.

参考文献/References:

[1] 叶万丽.毒蛇咬伤的患者局部处理及护理现状[J].中国中医急诊,2010,19(10):1769-1770.
[2] 倪汉萍.急救护理路径在毒蛇咬伤患者中的应用价值分析[J].实用临床护理学电子杂志,2019,4(36):88-89.
[3] AVAU B,BORRA V,VANDEKERCKHOVE P,et al.The treatment of snake bites in a first aid setting:a systematic review[J/OL].[2021-04-30].https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0005079.DOI:10.1371/journal.pntd.0005079.
[4] CURRIE B J.Treatment of snakebite in Australia:the current evidence base and questions requiring collaborative multicentre prospective studies[J].Toxicon,2006,48(7):941-956.
[5] 李其斌,吕传柱,梁子敬,等.2018年中国蛇伤救治专家共识[J].蛇志,2018,30(4):561-567.
[6] World Health Organization Regional Office for South-East Asia.Guidelines for the management of snakebites,2nd[M/OL].[2021-04-30].https://www.who.int/publications/i/item/9789290225300.
[7] 孙妍,刘莉,李青霞,等.压力固定技术在毒蛇咬伤急救中的应用研究进展[J].实用医院临床杂志,2019,16(1):246-248.
[8] HOWARTH D M,SOUTHEE A E,WHYLE I M.Lymphatic flow rates and first aid in simulated peripheral snake or spider envenomation[J].Med J Aust,1994,161(11-12):695-700.
[9] BENJAMIN T G,JASON B H,KORI B,et al.Pressure-immobilization bandages delay toxicity in a porcine model of eastern coral snake(Micrurus fulvius)envenomation[J].Ann Emerg Med,2005,45(6):603-608.
[10]SMYRNIOUDIS M E,O'ROURKE D P,ROSENBAUM M D,et al.Long-term efficacy of pressure immobilization bandages in a porcine model of coral snake envenomation[J].Am J Emerg Med,2014,32(9):1024-1026.
[11]张勇.小夹板绑扎法对竹叶青蛇咬伤后肿胀影响的临床研究[D].福州:福建中医药大学,2016.
[12]杨志芹,范玉梅,陈楚云.急救护理路径在毒蛇咬伤患者中的应用探讨[J].中国实用医药,2016,11(12):251-252.
[13]孙妍,冯卢,肖娜.压力固定技术在毒蛇咬伤急救中的临床效果观察[J].实用医院临床杂志,2019,16(2):48-51.

备注/Memo

备注/Memo:
【 收稿日期 】 2021-06-19 【 修回日期 】 2021-12-27
【 基金项目 】 四川省卫生和计划生育委员会科研基金资助项目(18PJ269)
【 作者简介 】 李铀氢,硕士,主管护士,从事急诊护理研究
【 通信作者 】 孙妍,电话:028-87393554
更新日期/Last Update: 2022-02-15