红蓝光联合电磁波治疗上肢闭合性骨折的临床效果

Clinical effect of red blue light combined with electromagnetic wave in the treatment of closed fracture of upper limb

目的探讨红蓝光联合电磁波治疗上肢闭合性骨折的临床效果。方法选取2018年1—12月广州中医药大学附属东莞中医院需手术治疗的210例上肢闭合性骨折患者作为研究对象,按照随机数字表法分为对照组(n=70)、观察1组(n=70)、观察2组(n=70)。对照组患者术前0.5~1 h输注头孢二类抗生素,术后伤口予以定时换药、手卫生等处理措施。观察1组在对照组基础上,术后予以红蓝光光子照射手术部位。观察2组在对照组基础上,术后予以红蓝光光子治疗联合电磁波治疗器照射手术部位。比较三组患者术后的切口感染率、拆线时间、术后住院时间、术前第1天和术后第3、5天疼痛程度的疼痛程度。结果观察1组、观察2组的感染率低于对照组,差异有统计学意义(P<0.05);观察2组的感染率低于观察1组,差异有统计学意义(P<0.05);观察1组、观察2组的拆线时间、术后住院时间短于对照组,差异有统计学意义(P<0.05);观察2组的拆线时间、术后住院时间短于观察1组,差异有统计学意义(P<0.05);术前第1天,观察1组的VAS评分高于对照组、观察2组,差异有统计学意义(P<0.05);术后第3、5天,观察2组的VAS评分低于对照组、观察1组,差异有统计学意义(P<0.05)。结论红蓝光光子治疗联合电磁波治疗能有效预防上肢骨折患者术后切口感染,同时能缩短患者拆线时间和住院天数,促进患者康复。

Objective To investigate the clinical effect of red and blue light combined with electromagnetic wave in the treatment of upper limb closed fracture.Methods A total of 210 patients with closed fracture of upper limb who were admitted to Dongguan Hospital Affiliated to Guangzhou University of Chinese Medicine from January to December 2018 were selected as the research objects.According to the random number table method,they were divided into the control group(n=70),observation group 1(n=70)and observation group 2(n=70).The control group were given cephalosporin class II antibiotics 0.5-1 hour before operation,and the wounds were treated with regular dressing and hand hygiene.On the basis of the control group,observation group 1 received red and blue light photon irradiation on the surgical site.On the basis of the control group,the two groups were given red and blue light photon therapy combined with electromagnetic wave therapy device to irradiate the surgical site.The wound infection rate,suture removal time,postoperative hospital stay,1 day before operation,3,5 days after operation were compared among the three groups.Results The infection rate of observation group 1 and observation group 2 was lower than that of control group,the difference was statistically significant(P<0.05);the infection rate of observation group 2 was lower than that of observation group 1,the difference was statistically significant(P<0.05).The suture removal time and postoperative hospital stay of observation group 1 and observation group 2 were shorter than those of control group,the differences were statistically significant(P<0.05);the suture removal time and postoperative hospital stay of observation group 2 were shorter than those of observation group 1,the differences were statistically significant(P<0.05).The VAS score of observation group 1 was higher than that of control group and observation group 2 on the first day before operation,the difference was statistically significant(P<0.05).Conclusion Red and blue light photon therapy combined with electromagnetic wave therapy can effectively prevent incision infection in patients with upper limb fracture,shorten the time of suture removal and hospitalization days,and promote the rehabilitation of patients.