妇科恶性肿瘤经腹手术术后咀嚼口香糖对胃肠功能恢复的影响  

Influence of gum chewing on the recovery of gastrointestinal function in patients undergoing abdominal complete staging surgery for gynecological malignancies

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

机构地区：[1]中国医科大学附属盛京医院妇科,辽宁沈阳110004

出　　处：《中华肿瘤防治杂志》2016年第3期198-202,共5页Chinese Journal of Cancer Prevention and Treatment

摘　　要：目的腹部手术后患者常会出现暂时性的胃肠功能絮乱,甚至发生肠梗阻。本研究旨在观察评估咀嚼口香糖对妇科恶性肿瘤经腹手术术后胃肠功能的影响。方法选取2014-03-01-12-31中国医科大学附属盛京医院第二妇科病房收治的156例妇科恶性肿瘤经腹手术的患者,采用计算机随机分组的方法将其分为咀嚼口香糖组和对照组各78例。咀嚼口香糖组:于术后第1天晨咀嚼箭牌木糖醇口香糖,时间分别为8AM、2PM和8PM,2粒/次,30min/次,直至肛门排气止。其他治疗及护理与对照组相同。比较两组患者术后肠鸣音恢复时间,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指标,并对两组住院时间进行对比。结果咀嚼口香糖组和对照组肠鸣音恢复时间分别为(20.8±9.9)和(28.5±10.6)h,t=6.742,P=0.000 1;两组首次排气时间分别为(41.2±10.3)和(56.3±11.5)h,t=8.682,P=0.000 5;两组排便时间分别为(71.6±6.7)和(83.9±10.6)h,t=8.603,P=0.000 8;两组住院时间分别为(6.5±0.7)和(7.7±1.2)d,t=7.696,P=0.000 2;咀嚼口香糖组均提前于对照组且差异有统计学意义,均P<0.05;术后腹胀、呕吐的发生率较对照组亦均明显降低,差异有统计学意义,P<0.05;而两组术后恶心和肠梗阻发生率比较,差异无统计学意义,P>0.05。结论咀嚼口香糖方法简便、安全,可以促进妇科恶性肿瘤经腹手术术后患者胃肠功能恢复,缩短住院时间,可作为妇科恶性肿瘤经腹手术术后促进胃肠功能恢复的综合方案之一。OBJECTIVE Patients who have undergone abdominal surgery often occur temporary functional gastrointestinal disorders and even intestinal obstrucition. This paper aimed to investigate the effect of chewing gum on the recovery of gastrointestinal function in patients undergoing abdominal complete staging surgery for gynecological malignancies. METHODS A randomized study was conducted from March 1, 2014, to December 31, 2014 in Department of Gynecology,Shengjing Hospital of China Medical University. Totally 156 patients scheduled to undergo laparotomy were randomly assigned to receive chewing gum or control group. The patients chewed sugarless gum at 8 AM,2 PM,8 PM,three times from the first postoperative morning until the first passage of flatus. Each chewing session lasted for 30 min. While other treatment and cares were the same as 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 to bowel movement between these two groups was （20.8±9.9） h and （28.5±10.6） h separately（t=6. 742,P=0. 000 1）, mean time to flatus of two groups was （41.2±10.3） h and （56.3±11.5） h separately（t=8. 682 ,P=0. 000 5）, mean time to defecation between the two groups was （71.6± 6.7） h and （83.9± 10.6） h separately（t = 8. 603, P = 0. 000 8）, mean length of hospital stay between two groups was （6.5±0.7） d and （7.7±1.2） d separately（t=7. 696,P=0. 000 2）. All above parameters were significantly reduced in patients that chewed gum compared with controls （P〈0.05）. Fewer participants assigned to receive chewing gum than routine care experienced postoperative emesis and abdominal distention （P〈0.05）. There were no differences in postoperative nausea and ileus between two groups （P〈0.05）. CONCLUSIONS Chewing gum ean decrease time of recovery of gastrointestinal function, shorten the duration of hospitalization and the method is simple and safe. It can be use

关 键 词：咀嚼口香糖 女性生殖器肿瘤 经腹手术 胃肠功能 

分 类 号：R473.73[医药卫生—护理学]