咀嚼口香糖对膀胱全切尿流改道术后肠道康复的影响  

Effect of gum chewing on bowel function recovery in patients after radical cystectomy with urinary diversion

作　　者：王宇[1] 孟一森[1] 范宇[1] 谌诚[1] 虞巍[1] 郝瀚[1] 韩文科[1] 郝金瑞[1] 金杰[1] 周利群[1] 

机构地区：[1]北京大学第一医院泌尿外科,北京大学泌尿外科研究所,国家泌尿、男性生殖系肿瘤研究中心,北京100034

出　　处：《北京大学学报（医学版）》2016年第5期822-824,共3页Journal of Peking University:Health Sciences

摘　　要：目的:观察咀嚼口香糖对膀胱全切尿流改道术患者术后肠道康复的影响。方法:选取2014年11月至2015年11月间北京大学第一医院泌尿外科收治的60例行膀胱全切尿流改道术(回肠膀胱术)的患者,将入组患者随机分入口香糖咀嚼组、安慰剂对照组(腹部理疗仪治疗)和空白对照组,记录患者术后恢复肛门排气时间、腹胀或腹痛的发生率以及肠道相关并发症的发生情况,并进行比较。结果:口香糖咀嚼组患者术后肠蠕动恢复时间比非口香糖咀嚼组显著提前,3组间肠道相关并发症差异没有统计学意义。结论:咀嚼口香糖可以促进膀胱全切回肠尿流改道患者手术后肠道功能的康复,方法简便安全,可以作为术后常规辅助治疗。Objective： To determine whether chewing gum during the postoperative period facilitates the recovery of bowel function in patients after radical cystectomy with ileum urinary diversion. Methods：In the study,60 patients who underwent radical cystectomy followed by ileum urinary diversions during Nov. 2014 and Nov. 2015 in Department of Urology of Peking University First Hospital were randomized into three groups： gum chewing group,placebo group treated with the abdomen physical therapy machine and control group treated with ordinary method. Time to flatus,time to bowel movement,incidence of postoperative distension of the abdomen and abdominal pain,and gut related complications（ such as ileus,intestinal fistula,and volrulus） of all the patients were recorded and analysed. Results： In gum chewing group,the median time to flatus was 57 hours（ 49- 72 hours）,and the median time to bowel movement was 95 hours（ 88- 109 hours）,which were significantly shortened compared with the other two groups of patients（ 82 hours,109 hours in placebo group and 81 hours,108 hours in control group,respectively）. No significant difference of the median time to flatus and to bowel movement was observed between placebo group and control group. There were no significant differences in the incidence of postoperative distension of the abdomen and abdominal pain,and gut related complications among the three groups. Conclusion： Chewing gum had stimulatory effect on bowel function recovery after cystectomy followed by ileum urinary diversion. Chewing gum was safe and simple,and could be routinely used for postoperative treatment after cystectomy and ileum urinary diversion.

关 键 词：咀嚼 口香糖 肠道功能恢复 膀胱切除术 尿流改道术 

分 类 号：R619[医药卫生—外科学]