林锦欢++罗以娟

[摘要] 目的 探讨红外线超短波治疗腹部切口感染的疗效。 方法 选择70例腹部切口感染患者，随机分为两组，应用抗感染、更换创面切口敷料方法相同。治疗组上午用红外线照射伤口，下午用大功率超短波治疗；对照组不采用物理治疗。两组待感染控制切口肉芽组织新鲜时予Ⅱ期清创缝合，治疗组继续理疗直至切口愈合。 结果 治疗组切口愈合天数为（15.26±5.14）d；对照组切口愈合天数为（21.74±5.35）d。两组比较具显著性差异（P<0.01）。 结论 红外线超短波治疗腹部切口感染能明显减少切口愈合的天数，疗效好且简单易行，降低医疗费用。

[关键词] 红外线；超短波；腹部切口感染； 愈合天数

[中图分类号] R454.1 [文献标识码] B [文章编号] 1673-9701（2014）29-0140-03

Effect of the infrared ultrashort wave in treatment of abdominal incision infection

LIN Jinhuan1 LUO Yijuan2

1.Department of Physiotherapy， Xinhui People's Hospital of Jiangmen City in Guangdong Province， Jiangmen 529100， China； 2.Department of Information， Xinhui People's Hospital of Jiangmen City in Guangdong Province， Jiangmen 529100， China

[Abstract] Objective To investigate the efficacy of the infrared ultrashort wave treatment of abdominal incision infection. Methods Chose 70 cases of patients with abdominal incision infection， and they were divided into 2 groups randomly， which using systemic anti infection and dressing the same incision replacement. The treatment group used the infrared irradiation to the wound in the morning， while in the afternoon using ultrashort wave therapy with high power. The control group did not use physical therapy. Two groups treat infection control granulation tissue to Ⅱ period when fresh debridement suture of incision， the treatment group continue to therapy until incision healing. Results Treatment group of incision healing days was （15.26±5.14） d； The control group incision healing days was （21.74±5.35）d. The two groups had significant difference（P<0.01）. Conclusion Infrared ultrashort wave treatment of abdominal incision infection can significantly reduce the incision healing of the number of days， curative effect is good and simple， which easy to reduce health care costs.

[Key words] Infrared； Ultrashort wave； Abdominal incision infected； Healing days

切口感染在各种手术后中比较常见，传统的切口清创换药抗炎二期缝合治疗方法使切口愈合时间延长，增加了患者的住院时间及费用[1]，使患者身心受到极大伤害。为了解决上述问题，减轻病者的精神和经济负担，避免由此可能引发的医疗纠纷，我院近几年应用红外线超短波治疗腹部切口感染收到显著疗效，现报道如下。

1资料与方法

1.1一般资料

选择2010年1月～2013年12月术后腹部切口感染患者70例。切口感染的诊断标准：切口发红、疼痛、肿胀或有脓性分泌物；深部手术切口经引流出现脓液或穿刺抽出脓液；自然裂开的切口或由外科医师打开的切口，有脓性分泌物；患者体温≥38%，切口局部有压痛感，切口分泌物培养阳性[2]。随机分为治疗组和对照组各35例，治疗组中男18例，女17例，平均年龄（50.03±20.58）岁，包括阑尾切除术后13例，胃肠道术后12例，肝胆术后5例，子宫附件3例，腹部疝2例。……