Chaou Chung-Hsien, Chen Chian-Kuang, Chen Jih-Chang, Chiu Te-Fa, Lin Chih-Chuan
Department of Emergency Medicine, Chang-Gung Memorial Hospital, Kuei-Shang County, Taoyuan, Taiwan, Republic of China.
Clin Toxicol (Phila). 2009 Aug;47(7):659-62. doi: 10.1080/15563650802084821.
To compare the effectiveness of ice packs and hot water immersion for the treatment of centipede envenomations.
Sixty patients envenomated by centipedes were randomized into three groups and were treated with ice packs, hot water immersion, or analgesia injection. The visual analog score (VAS) for pain was measured before the treatment and 15 min afterward. Demographic data and data on local and systemic effects after centipede bites were collected. The VAS scores and the pain decrease (DeltaVAS) were compared between the three groups.
All patients suffered from pain at the affected sites; other local effects included redness (n = 49, 81.7%), swelling (n = 32, 53.3%), heat (n = 14, 23.3%), itchiness (n = 5, 8.3), and bullae formation (n = 3, 5.0%). Rare systemic effects were reported. All three groups had similar VAS scores before and after treatment. They also had similar effectiveness in reducing pain caused by centipedes bites (DeltaVAS = 2.55 +/- 1.88, 2.33 +/- 1.78, and 1.55 +/- 1.68, with ice packs, analgesia, and hot water immersion, respectively, p = 0.165).
Ice packs, hot water immersion, and analgesics all improved the pain from centipede envenomation. Ice pack treatment is a safe, inexpensive, and non-invasive method for pre-hospital management in patients with centipede envenomation.
比较冰袋冷敷与热水浸泡治疗蜈蚣蜇伤的效果。
将60例蜈蚣蜇伤患者随机分为三组，分别采用冰袋冷敷、热水浸泡或注射镇痛药进行治疗。在治疗前及治疗后15分钟测量疼痛视觉模拟评分（VAS）。收集患者的人口统计学数据以及蜈蚣叮咬后的局部和全身反应数据。比较三组的VAS评分及疼痛减轻程度（DeltaVAS）。
所有患者受伤部位均有疼痛；其他局部反应包括发红（n = 49，81.7%）、肿胀（n = 32，53.3%）、发热（n = 14，23.3%）、瘙痒（n = 5，8.3%）和水疱形成（n = 3，5.0%）。报告的全身反应较少。三组治疗前后的VAS评分相似。它们在减轻蜈蚣叮咬所致疼痛方面的效果也相似（冰袋冷敷组、镇痛药组和热水浸泡组的DeltaVAS分别为2.55±1.88、2.33±1.78和1.55±1.68，p = 0.165）。
冰袋冷敷、热水浸泡和镇痛药均可缓解蜈蚣蜇伤引起的疼痛。冰袋冷敷治疗是蜈蚣蜇伤患者院前处理的一种安全、廉价且无创的方法。
