咀嚼口香糖对妇科良性疾病经腹手术术后胃肠功能恢复的疗效观察  

Observation of Curative Effect of Chewing Gum on the Recovery of Gastrointestinal Function af- ter Laparotomy for Benign Gynecologic Surgery

作　　者：李威[1] 刘念[1] 张士泰[1] 李博[1] 白莹[1] 欧阳玲[1] 

机构地区：[1]中国医科大学附属盛京医院妇产科,辽宁沈阳110004

出　　处：《医学临床研究》2015年第11期2161-2164,共4页Journal of Clinical Research

摘　　要：【目的】探讨咀嚼口香糖对妇科良性疾病经腹手术术后胃肠功能恢复的疗效。【方法】选取妇科良性疾病经腹手术的患者144例，随机将其分为咀嚼口香糖组（观察组）和对照组（术后仅常规护理，不咀嚼口香糖）。观察组患者咀嚼口香糖间隔6h一次，每次20rain，至肛门排气为止，其他术后治疗及护理与对照组相同。比较两组患者术后肠呜音恢复时间、首次排气、排便时间、恶心、呕吐，肠梗阻等胃肠功能恢复及相关并发症等和住院时间。【结果】观察组和对照组肠鸣音恢复时间[（18．4±5．9vs29．5土6．8）h]，首次排气时间[（38．5±9．2VS47．1±9．7）h]、排便时间[（60．1±10．4VS80．5±19．7）h]，住院时间[（4．6±0．8VS．5．7±1．4）d]比较，前者均短于后者，其差异均有显著性（P〈0．05）。术后腹胀、呕吐的发生率观察组也较对照组均明显降低，差异有统计学意义（P〈0．05），而两组术后恶心、肠梗阻发生率比较，差异无统计学意义（P〉0．05）。【结论】咀嚼口香糖可促进妇科良性疾病经腹手术术后患者胃肠功能恢复，缩短住院时间，且方法简便安全，可作为妇科良性疾病经腹手术术后胃肠功能恢复的综合治疗手段之一。[Objective]To investigate the effect of chewing gum on the recovery oi gastrointestinal tunctlon after laparotomy for benign gynecologic surgery. [Methods]A study was conducted from March 1, 2014, to October 31, 2014. 144 patients scheduled to undergo laparotomy were randomly assigned to receive either rou- tine care after surgery or routine care after surgery along with chewing gum. Patients of the chewing gum group, the observation group, chewed gum once every 6 hours after the operation; each chewing session lasted 20 minutes. Meanwhile, other treatment and care are the same as the treatment of patients in the control group. Time to first bowel motion and flatus, the length of hospital stay and bowel-related complications were analyzed between two groups. [Results] The mean time until bowel movement （ 18.4 ± 5.9 vs. 29.5± 6.8）, mean time until flatus（38.5±9.2 vs. 47.1±9.7）, mean time until defecation（60.1±10.4 vs.80.5±19.7 ）, and mean length of hospital stay（4.6± 0.8 vs.5.7 ± 1.4） were all significantly reduced in patients that chewed gum compared with control patients （P〈0.05）. Fewer participants assigned to receive chewing gum than routine care experienced postoperative emesis or abdominal distention （ P 〈0.05）. There were no differences in post- operative nausea and ileus between two groups （ P 〉0.05）. [Conclusion]Chewing gum decreased the time it took for patients to recover gastrointestinal function, shortened the duration of hospitalization. The method is also simple and safe. It can be used as a synthetic therapy for a gastrointestinal {unction recovery program after laparotomy for benign gynecologic surgery.

关 键 词：咀嚼 口香糖 妇科外科手术/副作用 腹部/外科学 排便 消化系统/病理生理学 

分 类 号：R713[医药卫生—妇产科学]