耳前瘘管感染期摘除术后红光理疗对切口愈合的效果分析  

Effect analysis of red light physiotherapy for incision healing after resection of preauricular fistula infection period

作　　者：钟润兰[1] 王玉芬[1] 何锦添[1] 

机构地区：[1]广东省东莞市人民医院耳鼻喉科,广东东莞523000

出　　处：《中国当代医药》2014年第18期16-18,共3页China Modern Medicine

基　　金：广东省东莞市科技计划医疗卫生类科研项目(201110515000323)

摘　　要：目的探讨耳前瘘管感染期患者实施摘除术后采用红光理疗促进切口愈合的临床效果。方法随机将本院耳鼻喉科收治的52例耳前瘘管感染期摘除术后患者分成观察组和对照组,每组各26例。对照组采用常规抗感染对症治疗,观察组在对照组基础上行红光理疗[波长为(630±10)mm,10 min/次,1次/d],比较两组患者术后第1、3、7天的疼痛视觉模拟评分(VAS)、切口愈合时间、切口愈合情况。结果两组第3、7天的VAS评分与第1天比较均显著降低(P<0.05);两组术后第1天的VAS评分差异无统计学意义(P>0.05),观察组在第3、7天的VAS评分均显著低于对照组同一时间的VAS评分(P<0.05)。观察组的平均愈合时间为(8.33±0.54)d,明显低于对照组的(12.4±0.65)d(P<0.05)。观察组的完全愈合率为53.85%,明显高于对照组的30.77%,观察组的总有效率为96.15%,高于对照组的84.62%(P<0.05)。结论对耳前瘘管感染期患者实施摘除术后采用红光理疗能够有效促进切口愈合、减轻切口疼痛、缩短切口愈合时间。Objective To explore the clinical effect of red light physiotherapy for promoting incision healing after re-section of preauricular fistula infection period. Methods 52 patients admitted into department of ear nose throat in our hospital and received resection of preauricular fistula infection period were randomly into the observation group and the control group,there were 26 patients in each group.The control group received regular anti-infection treatment,while the observation group received a red light physiotherapy [wave length was （630±10）mm,10 min one time,once a day].On the basis of the control group.VAS score,time of incision healing and conditions of incision healing in the two groups in the first,third and seventh days after the surgery were compared. Results VAS score in the third and seventh days in both the two groups were significantly lower than those in the first day after the surgery （P〈0.05）;difference of VAS score in the observation group and the control group in the first day was not statistically significant （P〉0.05）.VAS score in the observation group in the third and seventh days were both lower than those in the control group （P〈0.05）; average heal-ing time in the observation group [（8.33±0.54）days] was significantly lower than that of the control group （12.4±0.65）days （P〈0.05）.Complete healing rate in the observation group （53.85%） was significantly higher than that in the control group （30.77%）,the total effective rate in the observation group （96.15%） was higher than that of the control group （84.62%） （P〈0.05）. Conclusion The red light physiotherapy after resection of preauricular fistula infection period is effective in promoting incision healing,alleviating pain and shortening healing time.

关 键 词：耳前瘘管 红光照射 切口愈合 

分 类 号：R767.71[医药卫生—耳鼻咽喉科]