咀嚼口香糖对妇产科微创手术后病人胃肠功能的影响

[目的]探讨妇产科微创手术后咀嚼口香糖对促进病人胃肠功能恢复的临床价值。[方法]收集我院收治的行妇产科微创手术病人160例,随机分为两组,对照组采用常规护理并结合早期功能锻炼,实验组在对照组基础上术后予口香糖咀嚼,观察两组病人术后排气时间、首次排便时间以及术后腹胀和口腔溃疡的发生情况;检测术后第2天血中胃动素水平。[结果]实验组病人术后肛门排气时间明显缩短,与对照组比较,差异有统计学意义（P〈0.05）;术后排便时间实验组较对照组有所缩短,但差异无统计学意义;实验组病人出现腹胀及口腔溃疡等不适感的病例数明显少于对照组（P〈0.01）;胃动素水平实验组高于对照组,但差异无统计学意义。[结论]妇产科微创手术后咀嚼口香糖可促进胃肠功能恢复。

Influence of chewing gum on gastrointestinal function of postoperative patients in obstetrics and gynecology department after undergoing minimally invasive surgery

Objective：To probe into the clinical value of chewing gum on promoting gastrointestinal function recovery of postoperative patients in obstetrics and gynecology department after undergoing minimally invasive surgery.Methods： A total of 160 postoperative patients in obstetrics and gynecology department in our hospital after undergoing minimally invasive surgery were collected and randomly divided into two groups.Patients in control group received usual care and early functional training.Patients in test group were given chewing gum based on the usual care and early functional training.Then the time of postoperative exhaust,time of the first bowel movement,incidences of abdominal distension and oral ulcers of all patients were observed.And blood motilin levels of all cases were determined on the second day after their operation.Results：The anal exhaust time of patients in test group was significantly shorter than that of control group cases.There was statistical significant difference between them（P0.05）.The postoperative bowel movement time of test group cases was shortened.However,there was no statistical significant difference between the two groups.The numbers of cases with abdominal distension or discomfort and mouth ulcers in test group were significantly less than that of control group（P0.01）.And blood motilin levels in test group patients were higher than that of control group.But there was no statistical significant difference.Conclusion：Chewing gum for postoperative patients in obstetrics and gynecology department after undergoing minimally invasive surgery can promote their gastrointestinal function recovery.