Expert consensus on wound care for snakebite

doi:10.3761/j.issn.0254-1769.2026.19.007

Chinese Journal of Nursing ›› 2026, Vol. 61 ›› Issue (19): 2638-2645.DOI: 10.3761/j.issn.0254-1769.2026.19.007

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Expert consensus on wound care for snakebite

Emergency Nursing Professional Committee of Chinese Nursing Association (Writing Committee：NIE Anliu¹(), HE Binbin², ZHANG Shuzeng³, LI Jianfeng¹, ZHANG Jianxia⁴, ZENG Yan⁵, LIU Wanjuan⁶, GAN Xiuni⁷, HUANG Yanmei⁸, SU Xiangfen)¹^,^*()

¹ Emergency Department， the First Affiliated Hospital of Guangzhou Medical University， Guangzhou 510163， China
² Emergency Department， Guangdong Provincial People’s Hospital， Guangzhou 510080， China
³ Emergency Intensive Care Unit， the First Affiliated Hospital of Guangzhou Medical University， Guangzhou 510163， China
⁴ Emergency Department， Peking University First Hospital， Beijing 100034， China
⁵ Emergency Department， Hainan General Hospital， Haikou 570311， China
⁶ Emergency Department， the Fifth Affiliated Hospital of Wenzhou Medical University， Lishui 323000， China
⁷ Nursing Department， the Second Affiliated Hospital of Chongqing Medical University， Chongqing 400010， China
⁸ Nursing Department， the First Affiliated Hospital，Sun Yat-sen University， Guangzhou 510080， China

Received:2026-05-26 Online:2026-10-10 Published:2026-09-28
* Corresponding author: SU Xiangfen，E-mail：sxflmp@163.com
Funding program:
Guangzhou Regional Clinical Specialty Technology Program(2026C-TS020)

蛇伤伤口护理专家共识

中华护理学会急诊护理专业委员会 (执笔：聂岸柳¹(), 何斌斌², 张树增³, 李剑锋¹, 张建霞⁴, 曾艳⁵, 刘皖娟⁶, 甘秀妮⁷, 黄燕梅⁸, 苏湘芬)¹^,^*()

¹ 广州医科大学附属第一医院急诊科广州市 510163
² 广东省人民医院急诊科广州市 510080
³ 广州医科大学附属第一医院急诊重症监护室广州市 510163
⁴ 北京大学第一医院急诊科北京市 100034
⁵ 海南省人民医院急诊科海口市 570311
⁶ 温州医科大学附属第五医院急诊科丽水市 323000
⁷ 重庆医科大学附属第二医院护理部重庆市 400010
⁸ 中山大学附属第一医院护理部广州市 510080

通讯作者: 苏湘芬，E-mail：sxflmp@163.com
作者简介:聂岸柳：男，硕士，主管护师，E-mail：1551970788@qq.com
基金资助:
广州地区临床特色技术项目(2026C-TS020)

1. .pdf(1457KB)

Abstract

Abstract:

Objective To formulate an expert consensus on wound care for snakebite（hereinafter referred to as the ‘consensus’），and to guide nurses in standardized implementation of wound care for snakebite. Methods Chinese and international databases as well as relevant guideline websites were systematically searched. The available evidence was summarized and appraised to formulate the initial draft of the ‘consensus’. A total of 2 rounds of Delphi expert consultations（conducted in December 2025 and February 2026） and 1 expert panel discussion（held in May 2026） were conducted to revise the content of the ‘consensus’，resulting in the final draft. Results A total of 21 experts from 11 provinces in China participated in the consultations. The expert response rates for the 2 rounds of Delphi consultations were 95.5% and 100%，respectively. The authority coefficient was 0.893. The coefficients of variation was 0.03~0.21 points and 0~0.13 points correspondingly. The Kendall’s concordance coefficients were 0.236 and 0.374（all P<0.001）. The consensus consists of 7 sections. Conclusion The ‘consensus’ is scientific and rigorous，which can provide standardized guidance for nurses in the assessment and nursing management of snakebite wounds.

Key words: Snakebite, Wound, Nursing Care, Expert Consensus

摘要：

目的形成蛇伤伤口护理专家共识（以下简称“共识”），以指导护士规范实施蛇伤伤口护理。方法系统检索国内外数据库及相关指南网站，对相关证据进行整合和评价，形成“共识”初稿。分别于2025年12月、2026年2月开展2轮专家函询，于2026年5月进行1轮专家论证会，结合专家意见对“共识”内容进行修订，形成终稿。结果来自国内11个省份的21名专家参与函询，2轮函询的专家积极系数分别为95.5%、100%；专家权威系数为0.893；变异系数分别为0.03~0.21、0~0.13；肯德尔和谐系数分别为0.236、0.374（均P<0.001）。“共识”内容包括7个部分。结论该“共识”具有科学性、严谨性，可为护士对蛇伤伤口实施规范评估和护理提供指导。

关键词: 蛇伤, 伤口, 护理, 专家共识

Emergency Nursing Professional Committee of Chinese Nursing Association (Writing Committee：NIE Anliu, HE Binbin, ZHANG Shuzeng, LI Jianfeng, ZHANG Jianxia, ZENG Yan, LIU Wanjuan, GAN Xiuni, HUANG Yanmei, SU Xiangfen). Expert consensus on wound care for snakebite[J]. Chinese Journal of Nursing, 2026, 61(19): 2638-2645.

中华护理学会急诊护理专业委员会 (执笔：聂岸柳, 何斌斌, 张树增, 李剑锋, 张建霞, 曾艳, 刘皖娟, 甘秀妮, 黄燕梅, 苏湘芬). 蛇伤伤口护理专家共识[J]. 中华护理杂志, 2026, 61(19): 2638-2645.

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Expert consensus on wound care for snakebite

蛇伤伤口护理专家共识

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