640nm红光用于腹腔镜阑尾切除术后康复治疗的临床观察

Observation on Rehabilitation with 640nm Red Light after Laparoscopic Appendectomy

目的观察波长640 nm红光用于腹腔镜阑尾切除术后患者康复诊疗的疗效。方法选择2020年4月至2021年1月,阑尾炎患者87例,随机分为对照组和观察组。两组均采用腹腔镜阑尾切除术,对照组患者42例,术后常规抗感染治疗;观察组患者45例,在对照组的治疗基础上应用波长640 nm的红光治疗,治疗功率12 W,照射时间20 min,功率密度80 m W/cm^(2)。比较两组术后2和4 d炎症指标改变和康复情况。结果治疗前两组患者炎症指标白细胞(white blood cell,WBC)、C-反应蛋白(C-reactive protein,CRP)比较,差异无统计学意义(P>0.05);治疗后2和4 d观察组WBC、CRP低于对照组(P<0.05);观察组术后肠鸣音恢复时间、术后首次下床活动时间、术后腹部体征缓解时间、住院时间均低于对照组,差异具有统计学意义(P<0.05)。结论波长640 nm的红光治疗在腹腔镜阑尾切除术后患者的康复中具有明显的促进作用,值得临床推广运用。

Objective To observe the effect of 640 nm red light on the rehabilitation of patients after laparoscopic appendectomy.Methods Totally 87 patients with appendicitis treated from Apr.2020 to Jan.2021 were randomly divided into the control group and observation group.All the patients were given laparoscopic appendectomy.After the operation,the 42 patients in the control group were given routine anti-infection treatment,the 45 patients in the observation group were treated with 640 nm red light in addition.The treatment power was set at 12 W,the irradiation time 20 min,and the power density 80 mW/cm^(2).The changes of inflammatory indicators and rehabilitation were compared between the two groups on the 2 nd and 4 th day after the operation.Results Before the surgery,there was no significant difference in inflammatory indicators WBC and CRP between the two groups(P>0.05).The WBC and CRP in the observation group were lower than those in the control group on the 2 nd and 4 th day after the operation(P<0.05).The time required to recover bowel sounds,get out of bed for the first time and relieve abdominal signs and the hospital day in the observation group were all shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusions 640 nm red light treatment is rather effective in promoting the rehabilitation of patients after laparoscopic appendectomy and is hence worthy of widely clinical application.