摘要
目的探讨红光照射应用于跟骨骨折手术切口的应用效果。方法选取2017年1月~2019年1月我院收治的90例跟骨骨折患者作为研究对象,按照随机数字表法将其分为观察组和对照组,每组各45例。两组均采用切开复位内固定手术治疗,术后观察组患者切口除常规换药外,均采用红光照射治疗,对照组患者切口只做常规换药处理。两组患者均于术后进行3个月的随访。比较两组患者的切口渗出及愈合时间;术后第2、4、6天,采用视觉模拟量表(VAS)评分,对两组患者的切口疼痛程度进行评估;比较两组患者的切口炎症反应、皮缘坏死、切口裂开、切口感染并发症发生率。结果观察组患者的切口渗出及愈合时间短于对照组,差异有统计学意义(P<0.05);术后第2、4、6天的VAS评分低于对照组,差异有统计学意义(P<0.05);观察组患者的炎症反应及皮缘坏死发生率均低于对照组,差异有统计学意义(P<0.05)。两组患者的切口开裂及切口感染发生率比较,差异无统计学意义(P>0.05)。结论红光照射应用于跟骨骨折手术患者,可缩短切口的渗出及愈合时间,降低疼痛程度,减少炎症反应及皮缘坏死的发生率,具有临床应用价值。
Objective To explore the clinical effect of red light irradiation applied to surgical incision of calcaneal fracture.Methods From January 2017 to January 2019,90 patients with calcaneal fracture were selected as subjects and divided into observation group and control group according to the method of random number table,each with 45 cases.Both groups were treated with open reduction and internal fixation.The incisions in the observation group after operation were provided with red light irradiation besides conventional dressing changes,while in the control group,routine dressing change alone was carried.Both groups of patients were followed up for 3 months after surgery.The incision exudation and healing time of the two groups of patients were compared.On the second,fourth,and sixth days after surgery,the visual analogue scale(VAS)score was used to evaluate the incision pain of the two groups.The incidence of incision inflammation,skin margin necrosis,incision cracking,and incision infection with complications were compared.Results The incision exudation and healing time of the observation group were shorter than those in the control group,with statistically significant differences(P<0.05).The VAS scores of patients on the second,fourth,and sixth days after operation in the observation group were lower than those of the control group,with statistically significant differences(P<0.05).The incision inflammation rate and marginal necrosis rate in the observation group were lower than those of the control group,with statistically significant differences(P<0.05).There was no statistically significant difference in incision cracking or incision infection with complications rate(P>0.05).Conclusion The application of red light irradiation to the surgical incision of calcaneal fractures can shorten the time of exudation and healing,reduce the degree of pain,decrease the incidence of inflammatory reactions and necrosis of the skin margin,and has a great application value.
作者
董瑞一
武永东
魏金栋
DONG Rui-yi;WU Yong-dong;WEI Jin-dong(The Fourth Department of Traumatology and Orthopedics,Cangzhou Hospital of Integrated TCM-WM·Hebei,Hebei Province,Cangzhou061001,China)
出处
《中国当代医药》
2020年第22期30-33,共4页
China Modern Medicine
基金
河北省沧州市科学计划自筹经费项目(183302119)。
关键词
红光
跟骨骨折
缝合
切口
皮缘坏死
Red light
Calcaneal fracture
Suture
Incision
Skin margin necrosis
