首页|桂北地区毒蛇咬伤流行病学调查分析

桂北地区毒蛇咬伤流行病学调查分析

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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3 607 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3h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.
Epidemiological investigation and analysis of venomous snake bite in northern Guangxi
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 are-a.Methods The clinical data of 3 607 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 ana-lyzed.Results The main species of venomous snakes were Trimeresurus mucrosquamatus,Deinagkistrodon acutus,and Naja naja at-ra.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.Conclu-sion To investigate the epidemiological characteristics of venomous snake bites in northern Guangxi,strengthen the publicity and edu-cation of venomous snake bites,build emergency network,strengthen the basic treatment capacity and enrich the reserve of medical re-sources and other comprehensive measures are beneficial to improve the overall prevention and control level of venomous snake bites.

Snake biteVenomous snakeEpidemiologyCharacteristicNorthern Guangxi

刘治昆、赵红喜、韦晓东、莫志高、张清

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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

蛇咬伤 毒蛇 流行病学 特点 桂北地区

2024

蛇志
中国蛇协

蛇志

影响因子:0.439
ISSN:1001-5639
年,卷(期):2024.36(4)