摘要
目的观察远红外线治疗仪(TDP)理疗联合33.3%硫酸镁局部应用对腔镜甲状腺术后皮下淤血、积液的治疗效果。方法选择腔镜甲状腺术后皮下淤血、积液患者100例,随机分为两组(治疗组52例,对照组48例)。治疗组术后以33.3%硫酸镁局部应用配合TDP理疗,对照组仅予TDP理疗,观察1个疗程(3d)后淤血、积液情况变化,并检测治疗前后肿瘤坏死因子-α(TNF-α)和C反应蛋白(CRP)水平。应用SPSS17.0软件分析,计量资料以均值±标准差(MeanSD)表示,采用独立样本t检验。计数资料采用χ^2检验。结果治疗组淤血、积液消退情况总有效率为96.15%,明显高于对照组的81.25%,差异有统计学意义(χ^2=15.567,P<0.01);治疗后治疗组TNF-α、CRP水平下降,差异有统计学意义(t=-3.640,P<0.01;t=-16.580,P<0.01),对照组差异无统计学意义(t=-0.260,P>0.05;t=-0.060,P>0.05)。结论硫酸镁局部应用配合TDP理疗比较单纯TDP理疗更有利于腔镜甲状腺术后淤血、积液的消散吸收,效果更好。
Objective To observe the therapeutic effect of far infrared therapeutic device (TDP) physiotherapy combined with 33.3% magnesium sulfate topical application on subcutaneous congestion and effusion after endoscopic thyroidectomy. Methods 100 patients with subcutaneous congestion and effusion after endoscopic thyroidectomy were randomly divided into two groups (52 cases in the treatment group and 48 cases in the control group). The treatment group was treated with 33.3% magnesium sulfate combined with TDP physiotherapy after operation. The control group was treated with TDP physiotherapy only. The changes of blood stasis and fluid accumulation were observed after one course of treatment (3 days). The levels of tumor necrosis factor-α(TNF-α) and C-reactive protein (CRP) were measured before and after treatment. Results The total effective rate of the treatment group was 96.15% higher than that of the control group (81.25%). The difference was statistically significant (χ^2=15.567, P<0.01);after treatment, the levels of TNF-α and CRP in the treatment group decreased significantly (t=-3.640, P<0.01;t=-16.580, P<0.01), but there was no significant difference in the control group (t=-0.260, P>0.05;t=-0.060, P>0.05). Conclusion Local application of magnesium sulfate combined with TDP physiotherapy is more conducive to the dissipation and absorption of congestion and effusion after endoscopic thyroidectomy than simple TDP physiotherapy.
作者
田立新
金享林
柳霞
陈杨前
阳钊
洪福全
Tian Lixin;Jin Xianglin;Liu Xia;Chen Yangqian;Yang Zhao;Hong Fuquan(Department of Surgery,Chinese Medicine Affiliated Hospital of Guangzhou,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510130,China)
出处
《中华实验外科杂志》
CAS
CSCD
北大核心
2019年第6期1101-1103,共3页
Chinese Journal of Experimental Surgery
关键词
腔镜甲状腺手术
硫酸镁
局部应用
Cavity mirror thyroid surgery
Magnesium sulfate
Topical
