微波理疗对阑尾炎术后切口康复效果及生活质量的影响

Effects of Mcrowave Physiotherapy on the Rehabilitation of Incision and Quality of Life after Appendicitis Surgery

目的:探讨微波理疗对阑尾炎患者术后切口康复效果及生活质量的影响。方法:选取2017年8月到2018年12月期间在秦皇岛市第一医院进行阑尾炎手术治疗的患者120例,按数表法将患者随机分为对照组(n=60)和研究组(n=60)。对照组患者术后接受常规换药治疗,研究组患者术后给予微波理疗。比较两组患者的术后恢复指标[肠鸣音恢复时间、切口愈合时间、肛门排气时间、住院时间、视觉模拟评分(VAS)]、并发症发生情况[切口感染、切口脂肪液化、腹胀、切口疼痛]以及生活质量。结果:研究组患者的肠鸣音恢复时间、切口愈合时间、肛门排气时间、住院时间分别为(18.19±3.57)h、(7.12±1.03)d、(21.42±3.54)h、(12.17±4.03)d,均短于对照组的(21.36±4.26)h、(8.09±1.36)d、(23.19±4.63)h、(14.39±4.62)d,差异有统计学意义(P<0.05)。研究组的VAS评分为(3.56±1.05)分,低于对照组的(4.78±1.24)分,差异有统计学意义(P<0.05)。研究组患者的切口感染、切口脂肪液化、腹胀、切口疼痛等并发症发生率为3.33%、8.33%、10.00%、16.67%,均低于对照组的16.67%、28.33%、23.33%、36.67%,差异有统计学意义(P<0.05)。研究组患者的肠道症状、全身症状、情感功能的得分以及总分为(48.31±5.03)分、(46.39±4.87)分、(49.33±4.42)分、(187.97±12.21)分,均高于对照组的(44.15±4.26)分、(42.17±5.02)分、(45.02±3.94)分、(174.02±10.32)分,差异有统计学意义(P<0.05),两组患者的社会功能得分比较无明显差异(P>0.05)。结论:微波理疗可有效促进阑尾炎患者术后康复,减轻患者术后疼痛程度,降低术后并发症的发生率,并可有效改善患者术后的生活质量。

Objective: To explore the effects of microwave physiotherapy on the rehabilitation of incision and quality of life in patients with appendicitis after surgery. Methods: 120 patients with appendicitis surgery who were underwent in First Hospital of Qinhuangdao from August 2017 to December 2018 were selected. The paitients were divided control group(n=60) and study group(n=60) according to the random number table method. The control group was received routine dressing change after surgery, while the study group received microwave physiotherapy after surgery. Postoperative rehabilitation indicators [bowel sounds rehabilitation time, incision healing time, anal exhaust time, hospitalization time, visual analogue score(VAS)], complications [incision infection, incision fat liquefaction,abdominal distension, incision pain] and quality of life were compared between the two groups. Results: The bowel sounds rehabilitation time, incision healing time, anal exhaust time and hospitalization time in the study group were(18.19±3.57) h,(7.12±1.03) d,(21.42±3.54) h,(12.17±4.03) d respectivel, which were shorter than(21.36±4.26) h,(8.09 ±1.36) d,(23.19±4.63) h,(14.39±4.62) d in the control group, the differences were statistically significant(P<0.05). The VAS score of the study group was(3.56±1.05) score lower than(4.78±1.24) score of the control group, the difference was statistically significant(P<0.05). The incidences of incision infection, incision fat liquefaction, abdominal distension and incision pain were 3.33%, 8.33%, 10.00%, 16.67% in the study group, which were lower than16.67%, 28.33%, 23.33%, 36.67% in the control group, the differences were statistically significant(P<0.05). The scores of intestinal symptoms, systemic symptoms, emotional function and total score in the study group were(48.31±5.03) score,(46.39±4.87) score,(49.33±4.42) score,(187.97±12.21) score, which were higher than(44.15±4.26) score,(42.17±5.02) score,(45.02±3.94) score,(174.02±10.32) score in the control group, the differences were statistically significant(P<0.05). There was no significant difference in social function score between the two groups(P>0.05). Conclusion: Microwave physiotherapy can effectively promote the rehabilitation of appendicitis patients after surgery, reduce the degree of pain after surgery, reduce the incidence of complications, and it can effectively improve the quality of life of patients after surgery.