Abstract: 【Abstract】 Objective To observe the therapeutic effects of infrared in abdominal incision healing of gastro-enteric tumor patients postoperative. Methods〓250 gastro-enteric tumor patients were assigned to two groups, control group and experimental one. The average healing time of abdominal incision, infection ratio of incision, and the average in-hospital cost were observed. For control group patient, the abdominal incision was routinely disinfected with Iodophors q2d till the stitches were removed and for experimental group patient, irradiation of the incision with infrared ray lamp for 20 minutes twice a day was added in addition. Results〓The average healing time of abdominal incision of experimental group patient was 6.92±1.81 days, which was significantly shorter than that (7.99±3.91 days) of control group patient (P<0.01). The infection ratio of incision of experimental group patient was significantly lower than that of control group patient with 2.19% vs 11.50% (P<0.05). And the average in-hospital cost of experimental group patient was not higher than that of control group patient with 5.61±0.70(ten thousand yuan) vs 5.64±0.73 (ten thousand yuan) (P>0.05). Conclusion〓Irradiation can shorten the average healing time of the abdominal incision of gastro-enteric tumor patients postoperative, and can lower the infection of incision, but not increase the average in-hospital cost.

Key words: Irradiation with infrared ray lamp, Incision infection, In-hospital cost, Gastro-enteric tumor, Abdominal incision

摘要： 【摘要】 目的 探讨红外线烤灯照射在胃肠道肿瘤术后切口愈合过程中的临床疗效。方法将250例行胃、结直肠肿瘤手术患者分对照组和红外线照射组。对比两组患者,腹部切口平均愈合时间、切口感染率和住院总费用等三方面的差异。对照组:患者术后腹部切口用碘伏常规消毒换药,每两天一次至拆线。红外线照射组:患者术后腹部切口用烤灯照射20 min bid+碘伏常规消毒换药每两天一次至拆线。结果〓红外线照射组患者腹部切口愈合时间为6.92±1.81天,明显短于对照组患者切口愈合时间7.99±3.91天,P<0.01。红外线照射组患者腹部切口感染率2.19%明显少于对照组患者切口感染率11.50%(P<0.05)。红外线照射组患者的总住院费用5.61±0.70万元并不高于对照组5.64±0.73万元(P>0.05)。结论〓红外线烤灯照射能明显缩短胃肠道肿瘤患者术后腹部切口愈合时间,降低切口感染率,且不增加患者住院总费用。

关键词: 红外线烤灯照射, 腹部切口, 切口感染, 胃肠道肿瘤, 住院费用