微波疗法在腹部手术术后康复中的临床意义

【摘要】〓目的〓探讨微波热疗法在腹部手术术后康复中的临床意义。方法〓选择2014年1月~11月在我院进行腹部手术的患者,分成治疗组(99例)和对照组(100例),治疗组在常规术后处理的基础上于术后24 h增加腹部微波热疗,记录两组术后肠鸣音恢复、肛门排气、切口愈合及住院时间,并观察记录两组患者切口疼痛评分、镇痛剂应用、切口感染及脂肪液化等数据。结果 ①治疗组上消化道溃疡穿孔、阑尾炎及胆结石/胆囊炎术后肠鸣音恢复、肛门排气及切口愈合时间均较对照组明显缩短;阑尾炎及胆结石/胆囊炎术后住院时间较对照组明显缩短;治疗组腹部肿瘤术后切口愈合时间较对照组明显缩短。而两组在腹部肿瘤术后肠鸣音恢复与肛门排气时间无明显差异,两组在上消化道溃疡穿孔及腹部肿瘤术后住院时间无明显差异。②治疗组各项术后切口疼痛评分均较对照组明显下降,使用镇痛药物例数均较对照组明显减少;除了治疗组仅阑尾炎术后切口脂肪液化及感染较对照组明显减少外,其余各项术后切口脂肪液化及感染与对照组无明显差异。结论〓微波疗法对腹部术后切口疼痛、肠道功能恢复及切口愈合有一定的积极作用。

Clinical Significance of microwave therapy in the rehabilitation after abdominal surgery

【Abstract】 Objective〓To explore the clinical Significance of microwave therapy in the rehabilitation after abdominal surgery. Methods〓199 patients after abdominal operation were divided into treatment group (99 cases) and control group (100 cases). The patients of treatment group received abdomen microwave hyperthermia in 24 h after surgery and the controls were not treated. The recovery of bowel sounds, anus exhaust, wound healing and hospitalization time were observed in all patients..Incisional pain scores and analgesic agent,wound infection and fat necrosis were also annalyzed. Results The recovery of bowel sounds,anus exhaust and wound healing time in treatment group patients with upper gastrointestinal perforation,appendicitis and gallstones/cholecystitis were significantly shorter than those in control group (P<0.05). Postoperative hospital stay for appendicitis and gallstones/cholecystitis in treatment group were significantly shorter than those in control group (P<0.001), and wound healing time after surgery for abdominal tumors in treatment group was shorter than in control group(P<0.001)..Recovery time of bowel sounds and anus exhaust after abdominal tumor surgery in treatment group were no difference between two groups..Upper digestive tract perforation and abdominal tumor postoperative hospitalization time had no differences between two groups. The postoperative wound pain scores in treatment group were lower, and the number of using analgesic drug was less than that in control group (P<0.05). Incisional fat necrosis and infection of appendicitis in treatment group was reduced compared with control group (P<0.05). Conclusion〓In our study, microwave therapy was effective for abdominal surgery rehabilitation in postoperative pain relief, fat necrosis, intestinal function recovery and incision healing.