红光治疗联合无张力疝修补术对老年腹股沟斜疝患者的疗效

The effect of red light therapy combined with tension-free hernia repair on elderly patients with indirect inguinal hernia

目的分析红光治疗联合无张力疝修补术对老年腹股沟斜疝的疗效。方法选择北京工业大学医院2018年3月至2020年8月收治的60例老年腹股沟斜疝患者作为研究对象,依据不同治疗方法分为2组。对照组患者29例,行传统腹股沟疝修补术治疗;观察组患者31例,行无张力疝修补术治疗,并联合采用红光治疗。对比分析2组患者术后恢复指标、术后各时段视觉模拟评分(VAS)、炎症因子水平(白介素-6、C反应蛋白、白细胞计数)、手术并发症以及复发率、手术切口美观度和满意度等。结果观察组手术时间、术中出血量、住院时间、下床活动时间及术后VAS评分均显著低于对照组(P<0.05);术后观察组患者体内白介素-6、C反应蛋白、白细胞计数水平显著低于对照组(P<0.05);观察组术后并发症率(3.22%)、复发率(9.68%)、切口美观度(96.77%)、均明显低于对照组(27.59%、34.48%、75.86%),满意度(93.55%)高于对照组(68.97%),差异均有统计学意义(P<0.05)。结论红光治疗联合无张力疝修补术对老年腹股沟斜疝有较好的疗效,能有效减少患者的疼痛情况,提高康复质量,加快患者术后恢复,提高患者满意度。

Objective To analyze the effect of red light therapy combined with tension-free hernia repair on elderly patients with indirect inguinal hernia.Methods 60 elderly patients with indirect inguinal hernia admitted to Beijing University of Technology Hospital from March 2018 to August 2020 were selected as subjects.According to different treatment methods,they were randomly divided into two groups.29 patients in the control group were treated with traditional inguinal hernia repair,and 31 patients in the observation group underwent tension-free hernia repair combined with red light therapy.Postoperative recovery indicators,visual analog scale(VAS)scores at different time,levels of inflammatory factors[interleukin-6(IL-6),C-reactive protein(CRP),white blood cell(WBC)],surgical complications and recurrence rate,surgical incision aesthetics and satisfaction were compared and analyzed in two groups.Results The operation time,intraoperative blood loss,hospitalization time,time to get out of bed,and postoperative VAS scores in the observation group were significantly lower than those in the control group(P<0.05);the levels of IL-6,CRP,and WBC in the observation group were significantly lower than those in the control group(P<0.05);the postoperative complication rate(3.22%),recurrence rate(9.68%),incision aesthetics(96.77%)of the observation group were significantly lower than those of the control group(27.59%,34.48%,75.86%),and the satisfaction degree of the observation group(93.55%)was higher than that in the control group(68.97%),the differences were all statistically significant(P<0.05).Conclusion Red light therapy combined with tension-free hernia repair has a good effect on elderly patients with indirect inguinal hernias.It can effectively reduce the pain of patients,improve the quality of rehabilitation,speed up the recovery of patients after surgery,and improve patients satisfaction.