咀嚼口香糖对腹腔镜腹部手术后胃肠功能的影响  

Effect of chewing gum on gastrointestinal function after laparoscopic abdominal surgery

作　　者：任彦[1] 秦晓云[1] 戴晓云[2] 

机构地区：[1]苏州大学附属第四医院手术室,无锡214062 [2]南通大学附属医院手术室

出　　处：《中国实用护理杂志（中旬版）》2010年第9期68-70,共3页Chinese Journal of Practical Nursing

基　　金：基金项目：无锡市卫生局科研基金资助项目（MX0805）

摘　　要：目的观察咀嚼口香糖对腹腔镜手术后患者胃电图、血液胃动素及肛门排气时间的影响。方法选取择期腹腔镜胆囊切除术后患者200例，随机分为咀嚼口香糖组（G组）和对照组（C组）各100例。C组术后第2天早餐时间开始咀嚼口香糖，午餐、晚餐时间各1次，30min/次，直到第1次肛门排气为止；对照组不咀嚼口香糖。记录2组从手术结束到第1次肛门排气时间；测量术后第1、2、3天早晨咀嚼口香糖后30min血液胃动素，同时测量胃电图。结果2组间第1次肛门排气时间比较无显著差异；G组术后第1、2天胃动素水平显著高于C组，第3天2组间无显著差异；2组间胃电图术后第1、2、3天都无显著差异。结论术后咀嚼口香糖对腹腔手术后胃肠功能无显著影响。Objective To observe the effect of chewing gum on EGG,blood motilin and anus exhausting after laparoscopic abdominal surgery. Methods 200 patients after laparoscopic cholecystectomy were randomly arranged into chewing gum group （Group G）： to start chewing gum for 30 min at breakfast time on first day after operation, and also at lunch and dinner time, and stopped until the first anus exhausting, and the control group（Group C）： no chewing gum. The time between endpoint of operation to first anus exhausting was recorded; blood motilin and electrogastrography （EGG）on the morning of 1,2,3 days postoperation after chewing gum was detected. Results The time between endpoint of operation to first anus exhausting was not significantly different between two groups, compared with the control group, blood motilin significantly improved on the first day and the second day,but there was no difference between two groups on 3rd day; EGG was no different in all three days between two groups. Conclusions Chewing gum doesn＇t improve bowel function after laparoscopic abdominal surgery.

关 键 词：咀嚼口香糖 胃电图 胃动素 肛门排气时间 

分 类 号：R614.42[医药卫生—麻醉学]