微波治疗仪配合替硝唑冲洗用于直肠癌术后切口感染预防的效果评价

Effect evaluation of microwave therapy instrument combined with tinidazol e flushing for prevention of incisional infection after rectal cancer surgery

目的:分析微波治疗仪配合替硝唑冲洗用于直肠癌术后切口感染预防的效果。方法:选择2020年1月至2021年1月在绵阳市中心医院住院治疗的直肠癌术后患者66例作为研究对象。按照术后干预方法将其分为对照组(n=33)、观察组(n=33)。在术后,为对照组患者单用替硝唑预防切口感染,为观察组患者联用替硝唑、微波治疗仪预防切口感染,然后对比两组预防术后切口感染的效果、术后并发症(切口感染、切口裂开、切口脂肪液化、肿瘤种植)的发生率、临床指标(创面愈合时间、术后换药次数、术后住院时间)。结果:干预后,观察组的预防效果优于对照组,差异有统计学意义(P<0.05)。干预后,观察组的创面愈合时间、住院时间均短于对照组,术后换药次数少于对照组,差异有统计学意义(P<0.05)。干预后,观察组并发症的发生率低于对照组,差异有统计学意义(P<0.05)。干预后,观察组的各项生活质量评分均高于对照组,差异有统计学意义(P<0.05)。结论:对直肠癌术后患者采用替硝唑冲洗、微波治疗仪进行干预能够降低其切口感染等并发症的发生风险,促进其康复。

Objective:To analyze the effect of microwave therapy instrument combined with tinidazole flushing in the prevention of incision infection after rectal cancer surgery.Methods:A total of 66 patients with rectal cancer after surgery who were hospitalized in Mianyang Central Hospital from January 2020 to January 2021 were selected as the research objects.According to the postoperative intervention method,they were divided into control group(n=33)and observation group(n=33).After operation,patients in the control group were treated with tinidazole alone to prevent incision infection,while patients in the observation group were treated with tinidazole and microwave therapeutic instrument to prevent incision infection.Then,the effect of preventing postoperative incision infection,the incidence of postoperative complications(incision infection,incision dehiscence,incision fat liquefaction,tumor implantation),and clinical indicators(wound healing time,postoperative dressing change times,postoperative hospital stay)were compared between the two groups.Results:After intervention,the preventive effect of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the wound healing time and hospital stay of the observation group were shorter than those of the control group,and the number of dressing changes after surgery was less than that of the contr ol group,and the differences were statistically significant(P<0.05).After intervention,the incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of quality of life in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The intervention of tinidazole irrigation and microwave therapy instrument in patients with rectal cancer after surgery can reduce the risk of incision infection and other complications,and promote their recovery.