摘要
目的回顾性分析2013—2020年福州及周边地区毒蛇咬伤患者的流行病学特征。方法选取2013年6月至2020年12月福建中医药大学附属人民医院收治的2156例毒蛇咬伤患者作为研究对象,收集并统计患者性别、年龄、致伤部位、致伤月份、地域以及咬伤蛇种等资料,分析福州及周边地区毒蛇咬伤患者的流行病学特点。结果2156例毒蛇咬伤患者中男性1403例、女性753例(男∶女=1.86∶1),且男女患者均以51~60岁年龄段发生率最高,61~70岁年龄段发生率次之;毒蛇咬伤部位以四肢为主,其中左上肢占19.39%,左下肢占27.04%,右上肢占24.35%,右下肢占27.64%,双上肢占0.28%,双下肢占0.51%;咬伤月份分布于全年各月份,以6~10月高发,占78.38%;毒蛇咬伤患者地域分布中福州市占65.31%,以闽侯县(16.33%)、福清市(9.37%)、永泰县(7.00%)多发,福州周边地区占34.69%,以宁德市(21.47%)多发;咬伤毒蛇种类以竹叶青蛇最多,占32.98%,原矛头蝮、不明毒蛇、眼镜蛇次之,分别占26.81%、18.37%、15.07%,且均以宁德市、闽侯县分布最为广泛。结论福州及周边地区毒蛇咬伤患者以宁德市及闽侯县中老年男性居多,咬伤部位多为四肢,且以夏秋季高发,咬伤毒蛇种类以竹叶青蛇、原矛头蝮、眼镜蛇为主。
Objective To retrospectively analyze the epidemiological characteristics of patients with snake bites in Fuzhou and its surrounding areas from 2013 to 2020.Methods 2156 patients with snake bites,admitted to Fujian People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine from June 2013 to December 2020,were enrolled as subjects of research,and data of the patients including sex,age,location and time(month)of bite injury geographical distribution,species of snake,were collected to analyze the epidemiological characteristics of snake bites in Fuzhou and its surrounding areas.Results Of the 2156 cases,1403 were males and 753 were females(male vs.Female=186∶1).In both sexes,the highest incidence was seen in age group of 51-60 years,followed by the age group of 61-70 years.The location of bite injury was dominated by limbs,of which the left upper limb accounted for 19.39%,left lower limb 27.04%,right upper limb 24.35%,right lower limb 27.64%,both upper limbs 0.28%and both lower limbs 0.51%.Bite injury could occur in any time accidentally throughout the year,but more often in month 6-10,accounting for 78.38%.In terms of geographical distribution of snake bites,majority of such injury was seen in Fuzhou City(65.31%),especially in Minhou County(16.33%),Fuqing City(9.37%)and Yongtai County(7.00%),and the left 34.69%was seen in the surrounding areas of Fuzhou City,especially in Ningde City(21.47%).As for the snake species involved,the most common vipers were Trimeresurus stejnegeri(32.98%),followed by Protobothrops mucrosquamatus,unknown viper and Naja(respectively accounting for 26.81%,18.37%and 15.07%),and all of them were distributed most widely in Ningde City and Minhou County.Conclusion Victims of snake bites in Fuzhou and its surrounding areas were mainly middle⁃aged and elderly males lived in Ningde City and Minhou County,with extremities as the most susceptible body parts.The occurrence was more frequently seen in summer and fall,and the dominating snake species of such injury were Trime⁃resurus stejnegeri,Protobothrops mucrosquamatus and Naja.
作者
史超
苏秋香
施婉玲
王世军
SHI Chao;SU Qiuxiang;SHI Wanling;WANG Shijun(Vascular Surgery Department of Ulcers,Wounds and Snake Bites,Fujian People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350004,China)
出处
《中国烧伤创疡杂志》
2022年第1期23-28,共6页
The Chinese Journal of Burns Wounds & Surface Ulcers
基金
国家中医临床研究基地专项科研课题(JDZX201924)
福建省卫生健康科技计划项目(2020GGB038)。
关键词
福州
毒蛇
蛇咬伤
地域分布
流行病学
Fuzhou
Venomous snake
Snake bite
Geographical distribution
Epidemiology
