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Abstract：
OBJECTIVE: To analyze the vulnerability factors of snakebite patients in China.
METHODS: Multi-stage random sampling was used as the main sampling method and snowball sampling as the auxiliary sampling method. The knowledge, attitude and behavior of snakebite among Chinese residents were investigated. Non-parametric test was used to compare the percentage differences in residents\' knowledge, attitude and behavior of snakebite, and generalized linear regression analysis was used to analyze the influencing factors, and the vulnerability factors of snakebite patients were comprehensively analyzed.
RESULTS: A total of 6338 subjects were included in this study, of which 68.4% were males, and 58.6% were farmers, workers and service personnel. The median total score of knowledge, attitude, and behavior was 26 (22,36). The patients who were improperly treated after injury were ligation proximal to the affected area (23.43%), squeezing (21.82%), and oral and suction wounds (8.74%). Did not go to hospital due to poverty (1351 cases) and did not receive antivenom (2068 cases). There were 21.32% and 32.63%, respectively. Among 4270 patients injected with antivenom 30.7% were vaccinated within 2 h. Among the patients who went to the hospital for treatment (4987), 75.0% arrived at the hospital within 6 h; Among the 4,761 patients who made emergency calls, 37.4% were treated within 0.5 h.
CONCLUSIONS: Snakebite patients in China have weak knowledge about snakebite, low awareness of medical treatment, lack of correct prevention and emergency treatment measures, dependence on folk remedies, poor housing and so on. In addition, there are low availability of antivenoms and unreasonable distribution of medical resources in some areas of China. Multisectoral and multidisciplinary cooperation should be developed to prevent and control snakebites in order to reduce the burden caused by snakebites.
METHODS: Multi-stage random sampling was used as the main sampling method and snowball sampling as the auxiliary sampling method. The knowledge, attitude and behavior of snakebite among Chinese residents were investigated. Non-parametric test was used to compare the percentage differences in residents\' knowledge, attitude and behavior of snakebite, and generalized linear regression analysis was used to analyze the influencing factors, and the vulnerability factors of snakebite patients were comprehensively analyzed.
RESULTS: A total of 6338 subjects were included in this study, of which 68.4% were males, and 58.6% were farmers, workers and service personnel. The median total score of knowledge, attitude, and behavior was 26 (22,36). The patients who were improperly treated after injury were ligation proximal to the affected area (23.43%), squeezing (21.82%), and oral and suction wounds (8.74%). Did not go to hospital due to poverty (1351 cases) and did not receive antivenom (2068 cases). There were 21.32% and 32.63%, respectively. Among 4270 patients injected with antivenom 30.7% were vaccinated within 2 h. Among the patients who went to the hospital for treatment (4987), 75.0% arrived at the hospital within 6 h; Among the 4,761 patients who made emergency calls, 37.4% were treated within 0.5 h.
CONCLUSIONS: Snakebite patients in China have weak knowledge about snakebite, low awareness of medical treatment, lack of correct prevention and emergency treatment measures, dependence on folk remedies, poor housing and so on. In addition, there are low availability of antivenoms and unreasonable distribution of medical resources in some areas of China. Multisectoral and multidisciplinary cooperation should be developed to prevent and control snakebites in order to reduce the burden caused by snakebites.
摘要：
目的：分析我国蛇咬伤患者的易感因素。
方法：以多阶段随机抽样为主要抽样方法，以滚雪球抽样为辅助抽样方法。知识,调查我国居民对蛇咬伤的态度和行为。非参数检验用于比较居民知识的百分比差异，毒蛇咬伤的态度和行为，并采用广义线性回归分析方法对影响因素进行分析,综合分析蛇咬伤患者的易感因素。
结果：本研究共纳入6338名受试者，其中68.4%是男性，58.6%是农民，工人和服务人员。知识总分中位数，态度,行为为26（22,36）。受伤后治疗不当的患者在患处近端结扎（23.43%），挤压（21.82%），口腔和吸伤（8.74%）。因贫困未住院（1351例），未接受抗蛇毒血清（2068例）。分别为21.32%和32.63%,分别。在4270例注射抗蛇毒血清的患者中，有30.7％在2h内接种疫苗。在去医院治疗的患者中（4987），75.0%在6小时内到达医院；在4,761例拨打急救电话的患者中，37.4％在0.5h内处理。
结论：中国蛇咬伤患者对蛇咬伤的认识薄弱，医疗意识低，缺乏正确的预防和紧急处理措施，对民间疗法的依赖，住房差等等。此外,我国部分地区存在抗蛇毒血清利用率低、医疗资源分布不合理等问题。应发展多部门和多学科合作，预防和控制蛇咬伤，以减轻蛇咬伤造成的负担。
方法：以多阶段随机抽样为主要抽样方法，以滚雪球抽样为辅助抽样方法。知识,调查我国居民对蛇咬伤的态度和行为。非参数检验用于比较居民知识的百分比差异，毒蛇咬伤的态度和行为，并采用广义线性回归分析方法对影响因素进行分析,综合分析蛇咬伤患者的易感因素。
结果：本研究共纳入6338名受试者，其中68.4%是男性，58.6%是农民，工人和服务人员。知识总分中位数，态度,行为为26（22,36）。受伤后治疗不当的患者在患处近端结扎（23.43%），挤压（21.82%），口腔和吸伤（8.74%）。因贫困未住院（1351例），未接受抗蛇毒血清（2068例）。分别为21.32%和32.63%,分别。在4270例注射抗蛇毒血清的患者中，有30.7％在2h内接种疫苗。在去医院治疗的患者中（4987），75.0%在6小时内到达医院；在4,761例拨打急救电话的患者中，37.4％在0.5h内处理。
结论：中国蛇咬伤患者对蛇咬伤的认识薄弱，医疗意识低，缺乏正确的预防和紧急处理措施，对民间疗法的依赖，住房差等等。此外,我国部分地区存在抗蛇毒血清利用率低、医疗资源分布不合理等问题。应发展多部门和多学科合作，预防和控制蛇咬伤，以减轻蛇咬伤造成的负担。
