不同时间窗咀嚼口香糖促进胃肠外科患者术后胃肠道功能恢复的研究  

Study of chewing gum on gastrointestinal recovery after gastrointestinal surgery at different therapy time window

作　　者：谢敏仪[1] 柯远钰[1] 谢蓉芝[1] 陶红梅[1] 

机构地区：[1]中山大学附属第五医院普通外科一区,珠海市519000

出　　处：《护理管理杂志》2015年第9期659-660,共2页Journal of Nursing Administration

摘　　要：目的探讨不同时间窗咀嚼口香糖对胃肠外科患者术后胃肠道功能恢复的影响。方法选取300例行胃肠外科手术患者,随机分为A组(n=100)、B组(n=100)、C组(n=100)。A组于术后2 h给予咀嚼口香糖,B组于术后6 h给予咀嚼口香糖,C组进行常规护理。比较3组患者术后肠鸣音恢复时间、肛门排气时间、排便时间、腹胀发生率及血清胃泌素水平。结果 A组和B组患者术后肠鸣音恢复时间、肛门排气时间及排便时间均早于C组(P<0.05);A组术后肠鸣音恢复时间、肛门排气时间及排便时间均早于B组(P<0.05)。A组和B组胃泌素水平高于C组(P<0.05);A组胃泌素水平高于B组(P<0.05)。A组和B组腹胀发生率低于C组(P<0.05);A组腹胀发生率低于B组(P<0.05)。结论术后咀嚼口香糖可促进胃肠外科患者术后胃肠道功能恢复,且术后咀嚼口香糖时间越早效果越好。Objective To evaluate the effects chewing gum on gastrointestinal recovery after gastrointestinal surgery at different therapy time window. Methods Totally,300 patients with gastrointestinal surgery were randomly divided into the group A （n = 100 ）, the group B （n -- 100 ） and the group C （n = 100）. Patients in the group A were given to chew gum at postoperative 2 h. Patients in the group B were given to chew gum at postoperative 6 h. Patients in the group C were given to routine nursing. The recovery time of bowel sound, time of anus exhaust, time of bowel movement, incidence of abdominal distension, and level of serum gastrin in three groups were compared. Results The recovery time of bowel sound,time of anus exhaust, time of bowel movement of patients in the group A and B were earlier than those in the group C （ P 〈 0.05 ）. The recovery time of bowel sound, time of anus exhaust, time of bowel movement of pa- tients in the group A were earlier than those in the group B （ P 〈 0.05 ）. The level of serum gastrin of patients in the group A and B were higher than those in the group C （ P 〈 0.05 ）. The level of serum gastrin of patients in the group A were higher than those in the group B （ P 〈 0.05 ）. The abdominal distension incidence of patients in the group A and B were lower than those of the group C （ P 〈 0.05 ）. The abdominal distension incidence of patients in the group A were lower than those of the group B （ P 〈 0.05 ）. Conclusion Chewing gum can promote gastrointestinal recovery after gastrointestinal surgery, and the earlier therapy can bring better effect.

关 键 词：胃肠外科 胃肠功能 术后 咀嚼口香糖 

分 类 号：R473.6[医药卫生—护理学]