早期咀嚼口香糖促进腹部术后患者胃肠功能的恢复

目的探讨早期咀嚼口香糖促进腹部术后患者胃肠功能恢复的效果。方法将择期胃肠术后进入重症监护病房的患者随机分为观察组与对照组：对照组术后早期行常规康复锻炼;观察组在早期康复锻炼的基础上,给予咀嚼口香糖3次/d,15～20 min/次。比较两组患者手术前后血浆胃泌素水平及术后肛门排气、排便时间和住院天数。结果观察组患者术后48、72 h的血浆胃泌素水平高于对照组,患者肛门排气时间及排便时间早于对照组,住院天数短于对照组,差异均有统计学意义（均P〈0.01）。结论腹部术后患者早期咀嚼口香糖可提高患者血浆胃泌素水平,缓解术后腹胀,促进胃肠功能的恢复。

Clinical Effects of Early Chewing Gum in Promoting Recovery of Gastrointestinal Function

Objective To investigate the effect of early chewing gum in improving the recovery of gastrointestinal function after abdominal surgery.Methods The patients with elective gastrointestinal surgeries in intensive care unit（ICU） were divided into the observational group and the control group.The patients in the control group undergone routine rehabilitation exercise.On the basis of the early rehabilitation exercises,the patients in the observational group were given chewing gum（three times/day,15-20 minutes per time）.Then the differences in plasma gastrin levels before and after surgery and postoperative flatus,bowel movement and hospital stay were compared.Results The plasma gastrin levels of the patients at 48,72 h after surgery were significantly higher in the observational group than those in the control group（P〈0.01）.The flatus and bowel movement times of the patients were significantly earlier in the observational group than those in the control group,while the length of hospital stay was significantly shorter in the observational group than that in the control group（P〈0.01）.Conclusion Early chewing gum in postoperative gastrointestinal surgical patients can raise the level of plasma gastrin,relieve postoperative abdominal distention,and promote the recovery of gastrointestinal function.