光子治疗仪治疗腹部手术切口感染的效果分析

The photon therapeutic effect analysis for the treatment of abdominal incision infection

目的探讨光子治疗仪治疗腹部手术后切口感染的临床效果。方法选取2014年1月至2015年3月腹部手术后切口感染接收光子治疗的患者54例作为观察组,2013年3月至2013年12月于我院接受治疗的腹部手术后切口感染患者32例作为对照组,两组均接受常规基础处理,观察组在常规治疗的基础上加用光子治疗仪干预,采取视觉模拟评分法(visual analogue scale,VAS)评估患者切口疼痛状况,观察创面肉芽组织及渗液变化,评估干预效果。结果干预后观察组创面颜色评分为(0.48±0.40)分,创面渗液评分为(1.66±0.82)分,均明显低于对照组(P<0.05);观察组VAS评分降低至(16.21±0.46)分,降低幅度明显高于对照组(P<0.05);观察组痊愈18例,显效31例,有效3例,整体干预有效率高达96.30%,明显高于对照组的68.75%,差异有统计学意义(P<0.05)。结论在腹部手术切口感染患者的临床辅助治疗中加用光子治疗仪干预,能明显减轻疼痛,其疗效显著,安全性高,操作简单,值得临床推广。

Objective To analyze the clinical effect of photon therapeutic device in treatment ofincision infection in abdominal operation. Methods 54 patients with incision infection of abdominal operationadmitted into the hospital for treatment from January 2014 to March 2015 as the observation group, 32 patientswith incision infection of abdominal operation admitted into the hospital for treatment from March 2013 toDecember 2013 as the control group. The clinical data of the patients were retrospectively analyzed. The32 cases in the control group received routine basic intervention while the 54 cases in the observation groupreceived photon therapeutic device intervention based in the conventional treatment. The condition of incisionpain was evaluated by the visual analogue scale assessment. According to penetration velocity of gauze piece,wound exudation was determined. The color of wound was observed and the intervention effect was evaluated.Results The score of wound color of the observation group was (0.48±0.40), wound exudation (1.66±0.82)was significantly lower than those of the control group (P < 0.05). Before the intervention, comparison of VASscores of the two groups showed no significant difference (P > 0.05). After the intervention, VAS score of theobservation group decreased to (16.2±10.46.). The fall was significantly higher than that of the control group(P < 0.05). 18 cases were cured, 31 cases were markedly effective and 3 cases were effective in the observationgroup, the overall effective rate of intervention was 96.30% which was significantly higher than 68.75% in thecontrol group and the difference was statistically significant (P < 0.05). Conclusions In the clinical adjuvanttreatment of incision infection of abdominal operation, photon therapeutic device intervention can alleviatingpain, with significant curative effect and high safety, it was worthy of promotion.