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目的研究微波照射预防阑尾炎术后切口感染的临床效果。方法采用回顾性分析的方法,分析了2013年8月3日至2013年11月31日间收治的40例行阑尾炎手术患儿的临床资料,根据术后处理方法不同,将患儿随机分为对照组和治疗组各20例,其中对照组行常规术后处理,治疗组在对照组治疗的基础上实施微波照射,观察分析2组患儿术后切口发生感染的情况、切口愈合的平均时间及治疗情况。结果治疗组总有效率100.0%,对照组为75.0%,2组比较差异有统计意义(P<0.05)。治疗组切口平均愈合时间为(15.24±2.34)h,患儿感觉良好,切口周围有温热感,止痛、消肿、消炎效果明显,未发生烫伤,无切口感染等并发症发生;对照组切口平均愈合时间为(21.33±2.58)h,有4例(20.0%)患儿出现切口感染,经积极治疗后,症状得以缓解。2组平均愈合时间及切口感染率比较,差异有统计意义(P<0.05)。结论微波照射可以有效预防阑尾炎术后切口感染,具有良好的临床疗效,值得在临床上推广应用;在微波照射治疗过程中需加强护理,防止烫伤。
Objective To study the clinical effect of microwave irradiation in preventing incision infection after appendicitis. Methods A retrospective analysis was conducted to analyze the clinical data of 40 children with appendicitis admitted to our hospital from August 3, 2013 to November 31, 2013. According to the different postoperative management methods, the children were randomly divided into The control group and the treatment group of 20 cases, of which the control group underwent conventional postoperative treatment, the treatment group in the control group based on the implementation of microwave irradiation, observation and analysis of two groups of children with incision infection, the average wound healing time And treatment. Results The total effective rate was 100.0% in the treatment group and 75.0% in the control group. The difference between the two groups was statistically significant (P <0.05). In the treatment group, the mean healing time was (15.24 ± 2.34) h. The children felt good, there was a warm feeling around the incision, pain relief, swelling and anti-inflammatory effect were obvious, no scald and no incision infection occurred. The average healing time was (21.33 ± 2.58) h, and 4 cases (20.0%) had incision infection. After active treatment, the symptoms were relieved. The mean healing time and incision infection rate in 2 groups were statistically significant (P <0.05). Conclusion Microwave irradiation can effectively prevent postoperative incision infection of appendicitis, has good clinical efficacy, which is worth popularizing in clinical application. In the course of microwave irradiation, care should be strengthened to prevent scald.