红外线烤灯照射在胃肠道肿瘤术后腹部切口愈合中的疗效观察  

Effect of infrared irradiation on abdominal incision healing in gastro-enteric tumor patients

作　　者：陈素凯[1] 麦佩姗 洪清琦[1] 

机构地区：[1]厦门大学附属第一医院,厦门肿瘤医院,厦门市肿瘤中心胃肠外科二科,福建厦门361003 [2]厦门出入境检验检疫局,厦门国际旅行卫生保健中心,福建厦门361003

出　　处：《岭南现代临床外科》2016年第5期633-635,共3页Lingnan Modern Clinics in Surgery

基　　金：福建省自然科学基金青年创新项目(2012D-52)

摘　　要：目的探讨红外线烤灯照射在胃肠道肿瘤术后切口愈合过程中的临床疗效。方法将250例行胃、结直肠肿瘤手术患者分对照组和红外线照射组。对比两组患者,腹部切口平均愈合时间、切口感染率和住院总费用等三方面的差异。对照组:患者术后腹部切口用碘伏常规消毒换药,每两天一次至拆线。红外线照射组:患者术后腹部切口用烤灯照射20 min bid+碘伏常规消毒换药每两天一次至拆线。结果红外线照射组患者腹部切口愈合时间为6.92±1.81天,明显短于对照组患者切口愈合时间7.99±3.91天,P<0.01。红外线照射组患者腹部切口感染率2.19%明显少于对照组患者切口感染率11.50%(P<0.05)。红外线照射组患者的总住院费用5.61±0.70万元并不高于对照组5.64±0.73万元(P>0.05)。结论红外线烤灯照射能明显缩短胃肠道肿瘤患者术后腹部切口愈合时间,降低切口感染率,且不增加患者住院总费用。Objective To observe the therapeutic effects of infrared in abdominal incision healing of gastro-enteric tumor patients postoperative. Methods 250 gastro-enteric tumor patients were assigned to two groups, control group and experimental one. The average healing time of abdominal incision, infection ratio of incision, and the average in-hospital cost were observed. For control group patient, the abdominal incision was routinely disinfected with Iodophors q2d till the stitches were removed and for experimental group patient, irradiation of the incision with infrared ray lamp for 20 minutes twice a day was added in addition. Results The average healing time of abdominal incision of experimental group patient was 6.92±1.81 days, which was significantly shorter than that （7.99±3.91 days） of control group patient （P〈0.01）. The infection ratio of incision of experimental group patient was significantly lower than that of control group patient with 2.19% vs 11.50% （P〈0.05）. And the average in-hospital cost of experimental group patient was not higher than that of control group patient with 5.61±0.70（ten thousand yuan） vs 5.64±0.73 （ten thousand yuan） （P〉0.05）. Conclusion Irradiation can shorten the average healing time of the abdominal incision of gastro-enteric tumor patients postoperative, and can lower the infection of incision, but not increase the average in-hospital cost.

关 键 词：红外线烤灯照射 胃肠道肿瘤 腹部切口 切口感染 住院费用 

分 类 号：R719.8[医药卫生—妇产科学]