Effect of local ice pack cold compress combined with infrared radiation for patients with inguinal hernia after surgery
Objective To study the clinical effect of local ice pack cold compress combined with infrared radiation for patients with inguinal hernia after surgery.Methods A total of 88 patients with inguinal hernia who underwent surgical treatment at the Guangzhou First People's Hospital from January 2021 to December 2022 were selected.The patients were divided into a control group and a treatment group according to different postoperative treatments,with 44 cases in each group.In the control group,there were 39 males and 5 females;the time from onset to surgery was(6.35±0.52)d;they were(49.43±2.89)years old;there were 17 cases of left inguinal hernia and 27 cases of right inguinal hernia;they were treated with sandbags and infrared radiation after surgery.In the treatment group,there were 37 males and 7 females;the time from onset to surgery was(6.16±0.79)d;they were(49.16±2.73)years old;there were 18 cases of left inguinal hernia and 26 cases of right inguinal hernia;they were treated with local ice pack cold compress and infrared radiation after surgery.Both groups were treated for 1 week.The therapeutic effects and the relevant evaluation indexes before and after treatment were compared between the two groups.x2 and independent sample t test were used for statistical comparison.Results The total effective rate of incision healing in the treatment group was higher than that in the control group[93.18％(41/44)vs.75.00％(33/44)],with a statistical difference between the two groups(x2=5.436,P=0.020).After the treatment,the scores of Visual Analogue Scale and comfort,the levels of interleukin(IL)-10 and C reaction protein,and white blood cell count in the treatment group were better than those in the control group[(1.23±0.08)vs.(5.30±0.25),(18.39±2.17)vs.(15.24±2.25),(4.32±1.08)ng/L vs.(6.95±2.16)ng/L,(4.43±1.68)ng/L vs.(6.16±2.05)ng/L,and(4.13±0.75)×109/L vs.(7.75±1.62)×109/L],with statistical differences(all P＜0.05).The incidences of delayed wound healing,wound infection,and wound bleeding in the treatment group were lower than those in the control group[2.27％(1/44)vs.20.45％(9/44),0 vs.11.36％(5/44),and 2.27％(1/44)vs.18.18％(8/44)],with statistical differences(all P＜0.05).The number of incision dressing changes in the treatment group was lower than that in the control group[(3.67±1.29)times vs.(6.98±1.53)times],with a statistical difference(P＜0.05).The incision healing time and the total hospitalization time in the treatment group were shorter than those in the control group[(6.10±1.42)d vs.(9.24±1.61)d and(4.29±1.24)d vs.(8.62±2.55)d],with statistical differences(both P＜0.05).In the treatment group,36 cases had grade Ⅰ bleeding,8 grade Ⅱ,and 0 grade Ⅲ;in the control group,18 cases had grade Ⅰ bleeding,19 grade Ⅱ,and 7 grade Ⅲ;there was a statistical difference(all P＜0.05).Conclusion Local ice pack cold compress combined with infrared radiation for patients with inguinal hernia after surgery can effectively control wound dressing bleeding,reduce dressing changes,inflammatory reactions,and pain level,shorten wound healing time,and hospitalization time,and improve comfort.
万方数据
维普
