中医外治单元疗法治疗胡蜂蜇伤的疗效观察

目的 观察中医外治单元疗法对胡蜂蜇伤急诊患者的疗效。 方法 将 2021 年 4 月至 2023 年 9 月安徽中医药大学第一附属医院急诊科收治的 70 例胡蜂蜇伤患者采用随机数字表法分为观察组与对照组，各 35 例。对照组采用基础治疗方法，观察组在对照组基础上加用中医外治单元疗法，疗程为 5 d。比较两组患者治疗前后疗效、数字疼痛评分（NRS）和毒效应指标［天门冬氨酸氨基转移酶/丙氨酸氨基转移酶（AST/ALT）、总胆红素（TBIL）、肌酐（SCr）、部分凝血酶原时间（APTT）、超敏 C 反应蛋白（hs-CRP）］，并记录两组蜇伤处肿胀开始消退时间。 结果 观察组总有效率（85.71%）高于对照组（62.86%），肿胀消退时间短于对照组，差异有统计学意义（P＜0.05）。两组患者治疗前后 NRS 评分、AST/ALT、TBIL、SCr、APTT、hs-CRP 差值比较，差异均有统计学意义（P＜0.05）。 结论 中医外治单元疗法能加速胡蜂蜇伤局部肿胀消退，缓解疼痛，降低毒效应指标，促进炎症吸收，加速患者康复。

Observation on the curative effect of traditional Chinese medicine external treatment unit in the treatment of wasp sting

Objective To observe the curative effect of traditional Chinese medicine external treatment unit therapy on emergency patients with wasp stings. Methods Seventy patients with wasp stings admitted to the Emergency Department of the First Affiliated Hospital of Anhui University of Chinese Medicine from April 2021 to September 2023 were randomly divided into the observation group and the control group using a random number table method,with 35 cases in the observation group and 35 cases in the control group.The control group used basic treatment methods,while the observation group added traditional Chinese medicine external treatment unit therapy to the basic treatment method,with a course of 5 days.Compare The clinical efficacy,numeric rating scale(NRS),and toxic effects indicators of the two groups of patients were compared before and after treatment.Toxic effects indicatorsinclude aspartate aminotransferase/alanine aminotransferase(AST/ALT), total bilirubin(TBIL),serumcreatinine(SCr),activated partial thrombin time(APTT),and high-sensitivity C-reactive protein(hs-CRP)were compared.Finally,the time was recorded when the swelling at the two groups of stings began to subside. Results The total effective rate of the observation group (85.71%) was higher than that of the control group (62.86%). The time for swelling to subside in the observation groupwas shorter than that in the control group(P＜0.05).The difference in NRS score,AST/ALT,TBIL value,SCr value,APTT value,and hs-CRP value between the two groups of patients before and after treatment was statistically significant(P＜0.05). Conclusions Traditional Chinese medicine external treatment unit therapy can promote the local swelling and regression of wasp stings,alleviate pain,reduce toxic effect indicators,promote inflammation absorption,and accelerate patient recovery.