| Objective:In order to eliminate the local swelling and pain of Trimeresurus stejnegeri snake bite more quickly,this study discussed the nursing method of red light irradiation+local wet compress of magnesium sulfate on the basis of routine treatment and nursing of snake wound,and observed its clinical effect and safety,so as to provide a better nursing intervention reference scheme for clinical.Methods:This study adopted a randomized controlled study design.From June 2021 to November 2022,the patients bitten by Trimeresurus stejnegeri snake in emergency department(snake injury treatment center in this area)of a third-class hospital in Baise City were selected.Randomized control method was used to divide the enrolled patients into control group and experimental group.The control group was given basic treatment such as antivenom serum,and the experimental group was additionally given local red light irradiation+magnesium sulfate wet compress on the basis of the control group for 3 days,local wet compress magnesium sulfate for 10h each day,red light irradiation once a day,20min each time.Basic information(gender,age,occupation,bite site,etc.)of patients was collected,and swelling degree,pain index,white blood cell count,neutrophil count,hypersensitive C-reactive protein,lymphocyte count,monocyte count,length of hospitalization and incidence of adverse events during hospitalization were observed and compared between the two groups.SPSS 23.0 was used for statistical analysis.Results:(1)A total of 56 patients with Trimeresurus stejnegeri snake bite were included,including 27 males(48.21%),29 females(51.79%),as 49 farmers(87.50%)and 7 other occupations(12.50%).The bite sites were all limbs,including 19 cases(33.93%)on the right upper limb,15 cases(26.79%)on the left upper limb,13 cases(23.21%)on the right lower limb,and 9 cases(16.07%)on the left lower limb.The time from bite to treatment was 2hours at the earliest and 14 hours at the latest,and the mean time was 6.35±3.01 hours.(2)Comparison of general data:there were 28 cases in each group.The average age of the control group was 51.11±19.85 years old,and that of the experimental group was 50.46±19.21 years old.The mean time from bite to treatment was 7.04±3.39 hours in the control group and5.68±2.47 hours in the test group.Before the intervention,there was no significant difference in age,gender,bite site,time from bite to treatment and other general information between the two groups(P>0.05),which was comparable between the two groups.(3)Comparison of the degree of swelling,pain index and laboratory indicators between the two groups after intervention:Degree of swelling:On the 3rd day after admission,the degree of swelling between the two groups was compared,and the difference was statistically significant(P<0.05),showing that the median of the test group(3.000 cm)was significantly lower than that of the control group(4.050 cm).Pain index:On the 3rd day after admission,the pain index of the two groups was compared,and the difference was statistically significant(P<0.05),showing that the test group(2.88±1.37)points was significantly lower than the control group(4.26±1.04)points.Laboratory indicators:On the 3rd day of admission,white blood cell count,neutrophil count and hypersensitive C-reactive protein index of test group were all better than control group,the difference was statistically significant(P<0.05),indicating that the median white blood cell count of test group((9.535)×10~9/L)was significantly lower than that of control group((11.970)×10~9/L).The median neutrophil count of experimental group((7.140)×10~9/L)was significantly lower than that of control group((8.890)×10~9/L).The hypersensitive C-reactive protein of experimental group was(3.06±1.97)mg/L,which was significantly lower than that of control group(5.71±2.89)mg/L.There was no significant difference in lymphocyte count and monocyte count(P>0.05).(4)Length of stay and incidence of adverse events were not statistically significant between the two groups(P>0.05).(5)There was no statistical significance in the incidence of inpatient length of stay and complications between the two groups(P>0.05).Conclusion:(1)Red light irradiation+magnesium sulfate wet compress can effectively relieve the local swelling and pain of Trimeresurus stejnegeri snake bite,and the effect is better than systemic treatment alone,which has the value of further research and clinical promotion.(2)Red light irradiation+magnesium sulfate wet compress can control the white blood cell count,neutrophil count and hypersensitive C-reactive protein count of Trimeresurus stejnegeri snake bite patients,and this method can improve the local inflammatory response of snake bite.(3)Red light irradiation+magnesium sulfate wet compress can accelerate the local recovery process,no adverse reactions were observed in the implementation process,with high safety. |
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