毫米波对高龄腹股沟疝患者术后疼痛及血清肿的影响

目的探讨毫米波治疗对高龄腹股沟疝患者术后镇痛及减少血清肿的效果。 方法回顾性分析2015年1月至2018年10月，首都医科大学附属北京友谊医院医疗保健中心（老年病房）综合外科行腹股沟疝手术患者63例（单侧腹股沟疝70侧）的临床资料，患者年龄>65岁，根据是否行毫米波治疗将患者分为毫米波组28侧，对照组42侧；根据患者术后切口周围是否出现血清肿分为无血清肿组33侧和血清肿组37侧。测定术后6 、12 h、1、2、3、7 d患者静息状态下视觉模拟量表（visual analogue scale，VAS）评分、术后1、2、3、7 d运动状态VAS评分。观察患者术后切口周围有无血清肿出现。 结果静息状态下，术后6、12 h、1 d，毫米波组与对照组VAS评分差异无统计学意义（P>0.05）；术后2、3、7 d，毫米波组VAS评分显著低于对照组（P<0.01）。运动状态下，术后1 d，2组VAS评分差异无统计学意义（P=0.052）；术后2、3、7 d，毫米波组VAS评分均显著低于对照组，差异有统计学意义（P<0.01）。毫米波组血清肿发生率（21.4%）显著低于对照组（54.8%），差异有统计学意义（χ²=7.693，P=0.006）。无血清肿组患者VAS评分平均值为（2.57±0.56）分，血清肿组为（3.23±0.68）分，无血清肿组患者VAS评分平均值显著低于血清肿组患者，差异有统计学意义（t=－4.338，P=0.006）。 结论高龄腹股沟疝患者术后应用毫米波治疗可以增加术后镇痛效果，减少血清肿的发生。

Effect of millimeter wave on enhancing analgesia and reducing seroma after inguinal hernia repair of senile patients

ObjectiveTo investigate the effect of millimeter wave (MMW) on analgesia and reducing seroma after inguinal hernia repair in senile patients. MethodsThe clinical records of 63 patients (70 hernias) admitted to Beijing Friendship Hospital, from January 2015 to October 2018, were retrospectively analyzed. 70 hernias were divided either into MMW group (n=28) vs control group (n=42) or into non-seroma group (n=33) vs seroma group (n=37). Resting pain intensity was assessed by visual analogue scale (VAS) at 6 and 12 h postoperatively, while resting and activating pain intensity was assessed by VAS on 1, 2, 3 and 7 days after the surgery, respectively. The incidence of seroma was recorded. ResultsIn resting condition, there were no statistic difference of VAS scores between MMW group and control group at 6, 12 hours and on 1 days after the surgery (all P>0.05), while VAS scores were significantly lower in MMW group than in control group on 2, 3 and 7 days postoperatively (all P<0.01). In activating condition, there were no statistic difference of VAS scores between MMW group and control group on 1-day postoperatively (P=0.052), while VAS scores were significantly lower in MMW group than in control group on 2-day, 3-day and 7-day postoperatively (all P=0.000). The incidence of seroma was 21.4% in MMW group and 54.8% in control group, respectively. MMW group has significantly lower incidence of seroma than control group (χ²=7.693, P=0.006). The average of VAS score was 2.57±0.56 in non-seroma group, while 3.23±0.68 in seroma group. The average of VAS score was significantly lower in non-seroma group than in seroma group (t=-4.338, P=0.006). ConclusionThe application of MMW therapy after inguinal hernia repair in senile patients can enhance the effect of analgesia and reduce the incidence of seroma.