红外线烤灯照射在胃肠道肿瘤术后腹部切口愈合中的疗效观察

【摘要】 目的 探讨红外线烤灯照射在胃肠道肿瘤术后切口愈合过程中的临床疗效。方法将250例行胃、结直肠肿瘤手术患者分对照组和红外线照射组。对比两组患者,腹部切口平均愈合时间、切口感染率和住院总费用等三方面的差异。对照组:患者术后腹部切口用碘伏常规消毒换药,每两天一次至拆线。红外线照射组:患者术后腹部切口用烤灯照射20 min bid+碘伏常规消毒换药每两天一次至拆线。结果〓红外线照射组患者腹部切口愈合时间为6.92±1.81天,明显短于对照组患者切口愈合时间7.99±3.91天,P<0.01。红外线照射组患者腹部切口感染率2.19%明显少于对照组患者切口感染率11.50%(P<0.05)。红外线照射组患者的总住院费用5.61±0.70万元并不高于对照组5.64±0.73万元(P>0.05)。结论〓红外线烤灯照射能明显缩短胃肠道肿瘤患者术后腹部切口愈合时间,降低切口感染率,且不增加患者住院总费用。

Effect of infrared irradiation on abdominal incision healing in gastro-enteric tumor patients

Objective To observe the therapeutic effects of infrared in abdominal incision healing of gastro-enteric tumor patients postoperative. Methods 250 gastro-enteric tumor patients were assigned to two groups, control group and experimental one. The average healing time of abdominal incision, infection ratio of incision, and the average in-hospital cost were observed. For control group patient, the abdominal incision was routinely disinfected with Iodophors q2d till the stitches were removed and for experimental group patient , irradiation of the incision with infrared ray lamp for 20 minutes twice a day was added in addition. Results The average healing time of abdominal incision of experimental group patient was 6.92±1.81 days , which was significantly shorter than that (7.99±3.91 days) of control group patient (P<0.01). The infection ratio of incision of experimental group patient was significantly lower than that of control group patient with 2.19% vs 11.50% (P<0.05). And the average in-hospital cost of experimental group patient was not higher than that of control group patient with 5.61±0.70(ten thousand yuan) vs 5.64±0.73 (ten thousand yuan) (P>0.05). Conclusion Irradiation can shorten the average healing time of the abdominal incision of gastro-enteric tumor patients postoperative , and can lower the infection of incision , but not increase the average in-hospital cost.