CAJ | 학술논문

目的：探讨半导体激光治疗在尿道下裂术后伤口护理中的应用效果。方法将北京儿童医院泌尿外科2013年1月—2014年3月收治的尿道下裂患儿35例按照随机数字表法分为干预组17例与对照组18例。对照组采用常规抗感染治疗，干预组在此基础上加用半导体激光治疗。观察两组患儿的伤口愈合情况与术后疼痛分级情况。结果干预组患儿甲级愈合10例，乙级愈合3例，丙级愈合4例，优于对照组的4，10，4例，差异有统计学意义（ Z＝3．07，P＜0．05）。干预组患儿术后伤口疼痛分级0级8例，1级5例，2级2例，3级2例，优于对照组的2，3，6，7例，差异有统计学意义（Z＝2．34，P＜0．05）。结论半导体激光治疗可加速尿道下裂手术患儿伤口甲级愈合，缓解术后疼痛，有助于患儿术后恢复。
목적：탐토반도체격광치료재뇨도하렬술후상구호리중적응용효과。방법장북경인동의원비뇨외과2013년1월—2014년3월수치적뇨도하렬환인35례안조수궤수자표법분위간예조17례여대조조18례。대조조채용상규항감염치료，간예조재차기출상가용반도체격광치료。관찰량조환인적상구유합정황여술후동통분급정황。결과간예조환인갑급유합10례，을급유합3례，병급유합4례，우우대조조적4，10，4례，차이유통계학의의（ Z＝3．07，P＜0．05）。간예조환인술후상구동통분급0급8례，1급5례，2급2례，3급2례，우우대조조적2，3，6，7례，차이유통계학의의（Z＝2．34，P＜0．05）。결론반도체격광치료가가속뇨도하렬수술환인상구갑급유합，완해술후동통，유조우환인술후회복。
Objective To investigate the postoperative wound care and effect of semiconductor laser in the treatment of hypospadias .Methods Totals of 35 children with hypospadias from January 2013 to March 2014 were divided into the intervention group (17 cases) and the control group (18 cases) by the random table method.The intervention group was given routine anti-infection treatment combined with semiconductor laser treatment, and the control group was given normal anti-infection treatment.The wound healing results and the degree of postoperative pain were observed .Results In the intervention group , 10 children had the first-class healed wound;3 children had the second-class healed wound; 4 children had the third-class healed wound , which were significantly better than the numbers of 4, 10 and 4 children in the control group (Z=3.07,P<0.05).In the intervention group, 8 children had 0-degree postoperative pain; 5 children had 1-degree postoperative pain; 2 children had 2-degree postoperative pain; 2 children had 3-degree postoperative pain , which were significantly better than the numbers of 2, 3, 6 and 7 children in the control group (Z=2.34,P<0.05).Conclusions The semiconductor laser treatment can improve healing effect of hypospadias operation wounds and alleviate postoperative pain , and it can help to improve the recovery .