咀嚼口香糖联合吴茱萸外敷对妇科肿瘤术后胃肠功能恢复的影响

目的 探讨咀嚼口香糖联合吴茱萸外敷对妇科肿瘤术后胃肠功能恢复的影响。方法 选择我院2019年1月～2020年1月期间收治的妇科肿瘤手术患者86例，采用随机数字表法分为两组，每组各43例。对照组术后实施常规护理干预，研究组在此基础上采取咀嚼口香糖联合吴茱萸外敷。比较两组胃动力指标水平、胃肠功能恢复情况、住院时间及并发症发生率。结果 研究组术后2 h 胃动素水平为（168.36±45.79）ng/L，对照组为（169.41±43.92）ng/L，两组比较，差异无统计学意义（P＞0.05）；研究组术后72 h 胃动素水平为（234.08±50.86）ng/L，对照组为（202.53±48.29）ng/L，两组术后72 h 胃动素水平均高于术后2 h，且研究组高于对照组，差异有统计学意义（P<0.05）；研究组术后肠鸣音恢复时间、肛门排气时间、排便时间、住院时间为（21.19±6.63）h、（37.57±7.06）h、（53.38±9.15）h、（5.98±0.84）d，均短于对照组的（26.54±7.11）h、（43.88±8.25）h、（60.46±11.37）h、（6.82±1.05）d，差异有统计学意义（P<0.05）；研究组并发症总发生率为6.98%，低于对照组的23.26%，差异有统计学意义（P<0.05）。结论 咀嚼口香糖联合吴茱萸外敷能够改善妇科肿瘤患者胃动力，促进患者术后胃肠功能恢复，降低并发症发生率，有利于患者康复。

The effect of chewing gum combined with external application of evodia rutaecarpa on the recovery of gastrointestinal function after gynecological tumor surgery

Objective To explore the effect of chewing gum combined with external application of evodia rutaecarpa on the recovery of gastrointestinal function after gynecological tumor surgery.Methods A total of 86 patients with gynecological tumors admitted to and treated in our hospital from January 2019 to January 2020 were selected and divided into two groups through random number table method,with 43 patients in each group.The control group was received conventional nursing intervention after operation,while on this basis of what was given to the control group,the study group given therapy of chewing gum combined with external application of evodia rutaecarpa.The level of gastric motility index,the recovery of gastrointestinal function,the hospitalization time and the incidence rate of complications were compared between the two groups.Results The motilin level of the study group was (168.36±45.79) ng/L 2 h after operation,while that of the control group was(169.41±43.92) ng/L,with no statistically significant difference between the two groups(P>0.05);the motilin level of the study group was(234.08±50.86) ng/L 72 h after operation,while that of the control group was (202.53±48.29) ng/L,both of which were higher than the corresponding levels 2 h after operation,and that of the study group was higher than that of the control group,with statistically significant differences(P<0.05).The recovery time of bowel sounds,the anal exhaust time,the defecation time and the hospitalization time of the study group after operation was(21.19±6.63)h,(37.57±7.06)h,(53.38±9.15) h and(5.98±0.84)d respectively,all shorter than the(26.54±7.11)h,(43.88±8.25)h,(60.46±11.37)h and(6.82±1.05)d of the control group,with statistically significant differences(P<0.05).The total incidence rate of complications in the study group was 6.98%,lower than the 23.26% in the control group,and the difference was statistically significant (P<0.05).Conclusion Chewing gum combined with external application of evodia rutaecarpa can improve the gastric motility of the patients with gynecological tumors,promote postoperative recovery of their gastrointestinal function,and reduce the incidence of complications,which is conducive to the rehabilitation of the patients.