探讨红光治疗对腹壁疝开放手术切口愈合的影响。

选取2016年5月至2020年5月苏州大学附属第二医院130例行腹壁疝手术的患者为研究对象，随机将患者分为观察组和对照组，每组65例，对照组采用常规换药护理干预，观察组在对照组基础上联合红光治疗，比较2组患者切口拆线时间、切口愈合情况、视觉模拟评分法（VAS）及并发症发生率。

观察组和对照组切口愈合时间分别为（11.29±2.26）和（13.42±2.93）d，差异有统计学意义（P<0.05）；观察组切口愈合度明显高于对照组，差异有统计学意义（Z=1.97，P=0.048）；观察组和对照组患者术后5 d VAS评分分别为（4.17±1.53）、（5.04±1.64）分，7 d VAS评分为（2.98±0.83）、（3.32±0.81）分，并发症总发生率为（3.08%比7.69%），差异均有统计学意义（均P<0.05）。

红光治疗可有效促进腹壁疝开放修补手术切口愈合，减轻患者疼痛感，不增加额外花费，降低并发症发生率。

To investigate the effect of red light treatment on incision healing in abdominal wall hernia open surgery.

A total of 130 patients who underwent abdominal hernia surgery in the Department of Gastroenterology, Second Affiliated Hospital of Soochow University from May 2016 to May 2020 were selected as the subjects. According to the random number table method, they were divided into an observation group and a control group, with 65 cases in each group. The control group received routine dressing change nursing intervention, and the observation group underwent the combined red light treatment on the basis of the treatment for the control group. Incision suture removal time, incision healing, pain score (VAS) and complication rate were compared between 2 groups.

The incision healing time was (11.29±2.26) and (13.42±2.93) days, respectively, the differences were statistically significant (P<0.05). The wound healing degree in the observation group was significantly higher than that in the control group (Z=1.97, P=0.048). The 5 days VAS scores of the observation group and the control group were (4.17±1.53) and (5.04±1.64) points, respectively; the 7 d VAS scores were (2.98±0.83) and (3.32±0.81) points, respectively; the total incidence of complications was (3.08% vs 7.69%); the differences were statistically significant (P<0.05).

Red light therapy can effectively promote the wound healing of abdominal wall hernia open repair, alleviate the pain of patients, do not increase the additional cost, and reduce the incidence of complications.