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论著.中医药与民族医药诊疗 | 更新时间:2026-06-18
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京药解毒散外敷在竹叶青蛇轻中度咬伤患者中的应用效果
Application effect of Jingyao Jiedu Powder external application in patients with mild⁃moderate Trimeresurus stejnegeri snakebite

广西医学 页码:663-667

作者机构:邓海平,本科,副主任护师,研究方向为蛇伤救治及护理、急诊临床护理和护理管理。

基金信息:广西壮族自治区中医药管理局自筹经费科研课题(GXZYP20240731)

DOI:10.11675/j.issn.0253⁃4304.2026.05.10

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目的 观察京药解毒散外敷在竹叶青蛇轻中度咬伤患者中的应用效果。方法 选取80例竹叶青蛇轻中度咬伤患者作为研究对象,采用随机数字表法分为观察组和对照组,每组40例。对照组采用常规治疗,观察组在常规治疗基础上采用京药解毒散外敷治疗。比较治疗前后两组患者的咬伤侧肢体疼痛视觉模拟量表(VAS)评分、皮肤瘀斑评分、凝血功能指标[纤维蛋白原(FIB)、凝血酶时间(TT)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)]、炎症因子[超敏C反应蛋白(hs⁃CRP)、白细胞计数(WBC)],以及治疗后两组患者的中医证候疗效。结果 治疗72 h后,观察组咬伤侧肢体疼痛VAS评分、皮肤瘀斑评分、TT、PT、APTT、hs⁃CRP、WBC低于或短于对照组,FIB高于对照组,中医证候疗效优于对照组(P<0.05)。结论 与单纯常规治疗相比,联合京药解毒散外敷治疗竹叶青蛇轻中度咬伤更能有效改善患者的凝血功能、减轻炎症反应,有效缓解患者疼痛及皮肤瘀斑,提高治疗效果。

Objective To observe the application effect of Jingyao Jiedu Powder external application in patients with mild⁃moderate Trimeresurus stejnegeri snakebite. Methods A total of 80 patients with mild⁃moderate Trimeresurus stejnegeri snakebite were selected as the research subjects, and they were randomly divided into observation group or control group using a random number table method, with 40 cases in each group. The control group received conventional treatment, based on which the observation group received Jingyao Jiedu Powder external application for treatment. The Visual Analog Scale (VAS) score for limb pain on the bitten side, skin ecchymosis score, coagulation function indicators in terms of fibrinogen (FIB), thrombin time (TT), prothrombin time (PT), activated partial thromboplastin time (APTT), inflammatory factors with respect to high⁃sensitivity C⁃reactive protein (hs⁃CRP), white blood cell count (WBC) before and after treatment, as well as the Traditional Chinese Medicine syndrome efficacy after treatment, were compared between the two groups. Results After 72 hours of treatment, the observation group exhibited lower VAS score for limb pain on the bitten side, skin ecchymosis score, and shorter TT, PT, APTT, as well as lower hs⁃CRP, and WBC, whereas a higher FIB compared to the control group. The Traditional Chinese Medicine syndrome efficacy in the observation group was also superior to that in the control group (P<0.05). Conclusion Compared with conventional treatment alone, the combination of Jingyao Jiedu Powder external application in the treatment of patients with mild⁃moderate Trimeresurus stejnegeri snakebite can more effectively improve coagulation function, reduce inflammatory response, effectively alleviate pain and skin ecchymosis in patients, and enhance the therapeutic effect.  

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