眼镜蛇咬伤伤口部位与病情严重程度的相关性分析
Correlation between location and severity of cobra bite
钟迎 1冯基花 1雷艳华 1黄苏红 1禤懿璇 1玉佳宁 1田秋萍 1陈国强 1黄浩 1张剑锋1
作者信息
- 1. 广西医科大学第二附属医院急诊科(南宁,530007)
- 折叠
摘要
目的:分析眼镜蛇咬伤不同部位与病情严重程度的相关性,以期为眼镜蛇咬伤临床防治提供参考.方法:收集7家三甲医院2017-2021年间899例眼镜蛇咬伤住院患者的完整资料,分析一般情况,蛇咬伤月份及时段、咬伤部位、蛇咬伤严重程度、抗蛇毒血清使用情况等,并分析咬伤部位与病情严重程度的相关性.结果:899例眼镜蛇咬伤患者中,男777例(86.43％),女122例(13.57％);平均年龄(51.21±15.94)岁;每年4-9月份为高发期(736例,81.87％),每日12-18时为眼镜蛇咬伤事件的高频时段(413例,45.05％).轻、中、重度蛇咬伤患者分别为768例(85.43％)、123例(13.68％)、8例(0.89％);下肢咬伤(3.05％)较上肢咬伤(0.28％)更容易出现严重情况(P=0.005),不同肢体部位咬伤与病情严重程度相关(P=0.001 338,相关系数0.122).眼镜蛇下肢咬伤住院时间[(5.55±7.35)d]较上肢咬伤住院时间[(4.23±5.61)d]更长,差异有统计学意义(P=0.032).结论:眼镜蛇咬伤不同部位与患者病情严重程度有关,下肢咬伤可能更容易出现中重度病情.
Abstract
Objective:To investigate whether the severity of cobra bite correlates with wound location,in or-der to provide reference for the clinical prevention and treatment of cobra bite.Methods:The study included pa-tients with cobra-bite who were admitted to seven tertiary hospitals between January 1,2017,and December 12,2021.Data collected were location of cobra bite,markers of severity and antivenom etc.The location of cobra bite was analyzed in correlation with severity.Results:We included 899 cobra bite patients including 777 males(86.43％)and 122 females(13.57％),age(51.21±15.94)years.It was the highest incidence of cobra-bite from April to September(736 cases,81.87％),12 to18 o'clock(413 cases,45.05％).Mild,moderate and severe pa-tients respectively were 768 cases(85.43％),123 cases(13.68％)and 8 cases(0.89％).Lower limb bites were more likely to be severe than upper limb bites(3.05％vs.0.28％,P=0.005),and different limb wound loca-tions of cobra bite were related to the severity of cobra bite(P=0.001 338,r=0.122).It resulted longer hospi-talization in patients of lower limb bites than upper limb bites,(5.55±7.35)days vs.(4.23±5.61)days,P=0.032.Conclusion:The different wound locations of cobra-bite correlated with the severity,the lower limb cobra bites more likely to develop moderate and severe.
关键词
眼镜蛇咬伤/不同肢体部位/严重程度/相关性Key words
cobra bite/different locations/severity/correlation引用本文复制引用
基金项目
广西壮族自治区卫生健康委重点(培育)实验室项目(2PZH2020002)
广西中医药局自筹经费科研课题(GXZYZ20210440)
出版年
2024
NETL
NSTL
万方数据