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周根娣.MDT模式下早期分级康复治疗蝮蛇咬伤后肢体肿痛的临床观察[J].浙江中西医结合杂志,2020,30(1):
MDT模式下早期分级康复治疗蝮蛇咬伤后肢体肿痛的临床观察
Clinical observation of early graded rehabilitation for limb swelling and pain after agkistrodon halys bite under MDT model
投稿时间:2019-06-09  修订日期:2019-11-02
DOI:
中文关键词:  多学科诊疗  分级康复  蝮蛇咬伤
英文关键词:Multi-disciplinary treatment  Graded rehabilitation  Pit viper bite
基金项目:
作者单位E-mail
周根娣* 杭州市中医院 310006 zhougendi@yeah.net 
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中文摘要:
      目的 探讨实施多学科诊疗(MDT)模式下早期分级康复治疗对蝮蛇咬伤患者的影响。 方法 选取2018年4月至2018年12月在我院住院的76例蝮蛇咬伤患者作为研究对象,将2018年4月至7月就诊的38位患者列为对照组,2018年8月至2018年12月就诊的38位患者列为观察组,对照组采取常规治疗措施,观察组实施MDT早期分级康复治疗模式,包括早期康复锻炼、中医适宜技术和心理干预,比较两组患者干预前后肢体肿胀程度、疼痛情况、生活质量及治愈率。结果 观察组第4天、第7天肢体肿胀程度低于对照组,第4天、第7天疼痛评分低于对照组,差异有统计学意义(P<0.05),7天后干预组治愈率、生活质量得分高于对照组,差异均有统计学意义(P<0.05)。结论 MDT模式下早期分级康复治疗能有效减轻患者肢体肿胀程度,减轻肢体疼痛,提高患者生活质量,改善患者预后。
英文摘要:
      Objective To investigate the effect of early graded rehabilitation on the prognosis of patients with python bites in the implementation of multi-disciplinary treatment (MDT). Methods A total of 76 patients with python bites admitted to our hospital from April 2018 to December 2018 were enrolled. The 38 patients who were admitted from April to July 2018 were included in the control group, and from August 2018 to December 2018. The 38 patients admitted in August were included in the observation group. The control group received routine treatment measures. The observation group underwent MDT early graded rehabilitation treatment mode. The degree of limb swelling, pain, quality of life and cure rate were compared between the two groups. Results The degree of limb swelling in the observation group was lower than that in the control group on day 4 and day 7, and the score of pain on day 4 and day 7 was lower than that in the control group, and the difference was statistically significant (P<0.05).Conclusion Early graded rehabilitation therapy in MDT mode can effectively reduce the degree of limb swelling, reduce limb pain, improve patients" quality of life and improve patient prognosis.
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