Effect of acupoint incision (Bafeng and Baxie acupoints) combined with negative pressure on limb swelling and coagulation function after bite of bamboo leaf green snake
穴位切开（八风、八邪穴）联合负压治疗竹叶青蛇咬伤后肢体肿胀和凝血功能的影响

摘要

目的 分析竹叶青蛇咬伤后采取穴位切开（八风、八邪穴）联合负压治疗后产生的效果。方法 选择医院2018年到2022年接收的60例竹叶青蛇咬伤患者为研究对象，将其按照随机数表方式分组，50%采取基础治疗，设定为对照组；50%在基础治疗上加入穴位切开（八风、八邪穴）联合负压治疗，设定为观察组。分析两组治疗后产生效果差异。结果 观察组治疗后一周患肢周径明显减少，观察组治疗后白细胞计数、凝血酶原时间、活化部分凝血酶时间明显降低，血小板计数，纤维蛋白原明显增高，（P<0.05）为差异显著，有统计学意义。除外观察组伤口感染率明显更低，（P<0.05）为差异显著，有统计学意义。结论 竹叶青蛇咬伤后采取穴位切开（八风、八邪穴）联合负压治疗效果较明显，值得临床重视并采纳。

Abstract

Objective: To analyze the effect of acupoint incision (Bafeng and Baxie acupoints) combined with negative pressure treatment after the bite of bamboo leaf green snake.
Methods: 60 patients with bamboo leaf snake bite received by the hospital from 2018 to 2022 were selected as the research object, and they were divided into groups according to the random number table. 50% of them were treated with basic treatment and set as the control group; 50% of them were treated with acupoint incision (Bafeng and Baxie acupoints) combined with negative pressure, and were set as the observation group. Analyze the effect difference between the two groups after treatment.
Results: the peripheral diameter of the affected limb in the observation group decreased significantly one week after treatment, and the leukocyte count, prothrombin time and activated partial thrombin time in the observation group decreased significantly after treatment, while the platelet count and fibrinogen increased significantly (p<0.05), which was statistically significant. Except that the wound infection rate in the observation group was significantly lower (p<0.05), which was statistically significant.
Conclusion  : acupoint incision (Bafeng and Baxie acupoints) combined with negative pressure is effective in the treatment of bamboo leaf snake bite, which is worthy of clinical attention and adoption.