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蛇伤汤结合蛇伤膏外敷治疗蝮蛇咬伤的疗效观察

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目的 观察蛇伤汤结合蛇伤膏外敷治疗蝮蛇咬伤(火毒证)的临床疗效.方法 选取蝮蛇咬伤(火毒证)患者60例,随机分成对照组与治疗组各30例.对照组采取西医常规治疗加中医刺络拔罐法,治疗组在对照组治疗基础上加用蛇伤汤内服和蛇伤膏外敷治疗.观察治疗前和治疗后两组患者血清白细胞、中性粒细胞、超敏C反应蛋白(hs-CRP)等炎症指标,乳酸脱氢酶(LDH)、肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)等心肌酶谱指标变化.结果 治疗后两组患者血清白细胞、中性粒细胞、hs-CRP、LDH、CK、CK-MB水平较治疗前均有明显下降,与对照组相比,治疗组炎症指标和心肌酶降低更为显著(P<0.05).结论 蛇伤汤内服结合蛇伤膏外敷能有效降低患者的全身炎症反应,减轻蝮蛇毒素对人体心肌细胞的损伤.
Efficacy Observation of Sheshang Decoction Combined with External Application of Sheshang Ointment in the Treatment of Pallas Pit Viper Bite
Objective:To observe the effect of Sheshang Decoction combined with external application of Sheshang Ointment after Pallas pit viper bite(fire-toxicity syndrome).Methods:60 patients with Pallas pit viper bite(fire-toxicity syndrome)were selected and randomly divided into the control group and the treatment group,with 30 cases in each group.The patients in the control group received conventional western medicine treatment combined with traditional Chinese medicine acupuncture and cupping.On the basis of the control group's treat-ment,the patients in the treatment group were treated with Sheshang Decoction combined with external application of Sheshang Ointment.The changes in inflammatory indicators such as serum white blood cells,neutrophils,and hypersensitive C-reactive protein(hs-CRP),as well as myocardial enzyme spectrum indicators such as lactate de-hydrogenase(LDH),creatine kinase(CK),and creatine kinase isoenzyme(CK-MB)before and after treatment in both groups of patients were observed.Results:The serum levels of white blood cells,neutrophils,hs-CRP,LDH,CK,and CK-MB in both groups of patients decreased significantly compared to before treatment.Compared with the control group,the treatment group showed a more significant decrease in inflammatory indicators and myocardi-al enzymes(P<0.05).Conclusion:Sheshang Decoction for oral administration combined with external application of Sheshang Ointment can effectively reduce the systemic inflammatory response of patients and alleviate the dam-age of Pallas pit viper venom to human myocardial cells.

Pallas pit viper biteSheshang DecoctionSheshang OintmentInflammationMyocardial enzyme

李心雨、伍甜甜、曹承楼、李雪苓

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安徽中医药大学,安徽合肥 230038

安徽中医药大学第一附属医院,安徽合肥 230031

蝮蛇咬伤 蛇伤汤 蛇伤膏 炎症 心肌酶

安徽省卫生健康委卫生健康科研项目安徽中医药大学校级探索性科研项目

AHWJ2023BAc100022021zxts43

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(5)
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