切口局部冰袋冷敷联合红外线照射在腹股沟斜疝术后中的应用效果

doi:10.3760/cma.j.issn.1007-1245.2024.19.033

国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (19): 3327-3331.DOI: 10.3760/cma.j.issn.1007-1245.2024.19.033

切口局部冰袋冷敷联合红外线照射在腹股沟斜疝术后中的应用效果

范意金何映黄玉花

广州市第一人民医院胃肠疝和腹壁外科，广州　510000

收稿日期:2024-04-22 出版日期:2024-10-01 发布日期:2024-10-18
通讯作者: 范意金，Email：775668501@qq.com
基金资助:
广东省医学科学技术研究基金（B2022153）；广州市科技项目（202201010031）；广州市第一人民医院前沿医疗技术项目（QY-E10）

Effect of local ice pack cold compress combined with infrared radiation for patients with inguinal hernia after surgery

Fan Yijin, He Ying, Huang Yuhua

Department of Gastrointestinal, Henia, and Abdominal Wall, Guangzhou First People's Hospital, Guangzhou 510000, China

Received:2024-04-22 Online:2024-10-01 Published:2024-10-18
Contact: Fan Yijin, Email:775668501@qq.com
Supported by:
Research Fund of Medical Science and Technology in Guangdong (B2022153); Project of Science and Technology in Guangzhou (202201010031); Leading-edge Medical Project of Guangzhou First People's Hospital (QY-E10)

摘要/Abstract

摘要：

目的　探讨腹股沟斜疝患者在手术后采用切口局部冰袋冷敷联合红外线照射治疗的临床效果。方法　采用回顾性分析，选择2021年1月至2022年12月在广州市第一人民医院接受手术治疗的腹股沟斜疝患者88例，按照术后处理方式不同分为对照组和治疗组。对照组44例，男39例、女5例，发病至手术时间（6.35±0.52）d，年龄（49.43±2.89）岁；左侧腹股沟疝17例、右侧腹股沟疝27例；术后接受砂袋+红外线照射治疗。治疗组44例，男37例、女7例，发病至手术时间（6.16±0.79）d，年龄（49.16±2.73）岁，左侧腹股沟疝18例、右侧腹股沟疝26例；术后接受切口局部冰袋冷敷联合红外线照射治疗。两组均治疗1周。对比两组治疗效果及治疗前后的相关评价指标。统计比较采用χ²检验、独立样本t检验。结果　治疗组患者切口愈合总有效率为93.18%（41/44），高于对照组的75.00%（33/44），差异有统计学意义（χ²=5.436，P=0.020）；治疗后，治疗组视觉模拟量表（VAS）评分为（1.23±0.08）分、舒适度评分为（18.39±2.17）分、白细胞介素（IL）-10为（4.32±1.08）ng/L、C反应蛋白（CRP）（4.43±1.68）ng/L、白细胞计数（WBC）为（4.13±0.75）×10⁹/L，对照组分别为（5.30±0.25）分、（15.24±2.25）分、（6.95±2.16）ng/L、（6.16±2.05）ng/L、（7.75±1.62）×10⁹/L，差异均有统计学意义（均P<0.05）；治疗组切口延迟愈合发生率为2.27%（1/44）、切口感染发生率为0、切口渗血发生率为2.27%（1/44），均低于对照组［20.45%（9/44）、11.36%（5/44）、18.18%（8/44）］，差异均有统计学意义（均P<0.05）；治疗组切口换药次数［（3.67±1.29）次］少于对照组［（6.98±1.53）次］，切口愈合时间［（6.10±1.42）d］、住院总时间［（4.29±1.24）d］短于对照组［（9.24±1.61）d、（8.62±2.55）d］，差异均有统计学意义（均P<0.05）；治疗组切口敷料渗血Ⅰ级36例、Ⅱ级8例、Ⅲ级0例，对照组分别为18例、19例、7例，差异均有统计学意义（均P<0.05）。结论　腹股沟斜疝患者在手术后采用切口局部冰袋冷敷联合红外线照射治疗效果显著，可有效控制切口敷料渗血，减少换药次数，减轻炎症反应和疼痛程度，缩短切口愈合和住院时间，提高舒适度。

关键词:

腹股沟斜疝, 局部冰袋冷敷, 红外线照射, 舒适度, 切口愈合

Abstract:

Objective　To study the clinical effect of local ice pack cold compress combined with infrared radiation for patients with inguinal hernia after surgery. Methods　A total of 88 patients with inguinal hernia who underwent surgical treatment at the Guangzhou First People's Hospital from January 2021 to December 2022 were selected. The patients were divided into a control group and a treatment group according to different postoperative treatments, with 44 cases in each group. In the control group, there were 39 males and 5 females; the time from onset to surgery was (6.35±0.52) d; they were (49.43±2.89) years old; there were 17 cases of left inguinal hernia and 27 cases of right inguinal hernia; they were treated with sandbags and infrared radiation after surgery. In the treatment group, there were 37 males and 7 females; the time from onset to surgery was (6.16±0.79) d; they were (49.16±2.73) years old; there were 18 cases of left inguinal hernia and 26 cases of right inguinal hernia; they were treated with local ice pack cold compress and infrared radiation after surgery. Both groups were treated for 1 week. The therapeutic effects and the relevant evaluation indexes before and after treatment were compared between the two groups. χ² and independent sample t test were used for statistical comparison. Results　The total effective rate of incision healing in the treatment group was higher than that in the control group [93.18% (41/44) vs. 75.00% (33/44)], with a statistical difference between the two groups (χ²=5.436, P=0.020). After the treatment, the scores of Visual Analogue Scale and comfort, the levels of interleukin (IL) -10 and C reaction protein, and white blood cell count in the treatment group were better than those in the control group [(1.23±0.08) vs. (5.30±0.25), (18.39±2.17) vs. (15.24±2.25), (4.32±1.08) ng/L vs. (6.95±2.16) ng/L, (4.43±1.68) ng/L vs. (6.16±2.05) ng/L, and (4.13±0.75)×10⁹/L vs. (7.75±1.62)×10⁹/L], with statistical differences (all P<0.05). The incidences of delayed wound healing, wound infection, and wound bleeding in the treatment group were lower than those in the control group [2.27% (1/44) vs. 20.45% (9/44), 0 vs. 11.36% (5/44), and 2.27% (1/44) vs. 18.18% (8/44)], with statistical differences (all P<0.05). The number of incision dressing changes in the treatment group was lower than that in the control group [(3.67±1.29) times vs. (6.98±1.53) times], with a statistical difference (P<0.05). The incision healing time and the total hospitalization time in the treatment group were shorter than those in the control group [(6.10±1.42) d vs. (9.24±1.61) d and (4.29±1.24) d vs. (8.62±2.55) d], with statistical differences (both P<0.05). In the treatment group, 36 cases had grade Ⅰ bleeding, 8 grade Ⅱ, and 0 grade Ⅲ; in the control group, 18 cases had grade Ⅰ bleeding, 19 grade Ⅱ, and 7 grade Ⅲ; there was a statistical difference (all P<0.05). Conclusion　Local ice pack cold compress combined with infrared radiation for patients with inguinal hernia after surgery can effectively control wound dressing bleeding, reduce dressing changes, inflammatory reactions, and pain level, shorten wound healing time, and hospitalization time, and improve comfort.

Key words:

Inguinal hernia, Local ice pack cold compress, Infrared irradiation, Comfort, Incision healing

范意金何映黄玉花.

切口局部冰袋冷敷联合红外线照射在腹股沟斜疝术后中的应用效果 [J]. 国际医药卫生导报, 2024, 30(19): 3327-3331.

Fan Yijin, He Ying, Huang Yuhua.

Effect of local ice pack cold compress combined with infrared radiation for patients with inguinal hernia after surgery [J]. International Medicine and Health Guidance News, 2024, 30(19): 3327-3331.

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切口局部冰袋冷敷联合红外线照射在腹股沟斜疝术后中的应用效果

Effect of local ice pack cold compress combined with infrared radiation for patients with inguinal hernia after surgery

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