咀嚼口香糖对胃切除术后影响胃肠功能恢复的探讨

目的探讨咀嚼口香糖对于胃切除术后患者胃肠功能恢复的影响。方法选取我院2011年10月～2012年2月行胃切除术患者80例,随机分为对照组与实验组各40例;对照组患者术后采用禁食、早期活动及功能锻炼等常规护理措施;实验组患者在对照组护理基础上,术后第一天起每天咀嚼口香糖3次,每次15min;比较两组患者术后排气、排便、肠鸣音恢复、住院时间以及口干口臭、口腔溃疡、腹胀以及肠梗阻等并发症发生率。结果实验组患者术后排气、排便、肠鸣音恢复及住院时间较对照组均明显缩短,组间比较差异显著（P〈0.05）;同时实验组患者术后口干口臭、口腔溃疡、腹胀以及肠梗阻等并发症发生率较对照组均明显降低,组间比较差异显著（P〈0.05）。结论咀嚼口香糖能够有效促进胃切除术后患者胃肠功能恢复,减少术后并发症发生,使用方便、安全、经济,具有临床推广使用价值。

Influence of chewing gum on recovery of gastrointestinal function after gastric resection

Objective To investigate the effect of chewing gum on reconvery of gastrointestinal function after gastric resection. Methods 80 cases were randomly divided into control group and experimental group （n=40 cases）. The control group was treated with routine care measures including fasting, early mobilization and functional training. The experimental group was treated daily chewing gum three times, each time 15min on the basis of routine care measures. The postoperative exhaust, defecation, restoration of bowel sounds, length of stay and dry mouth, bad breath, mouth ul- cers, abdominal distension and intestinal obstruction complication rate were observed. Results The time of exhaust, bowel movements, bowel sounds, recovery and hospital stay of the experimental group patients were significantly short than that of the control （P〈0.05）. There were dry mouth, bad breath and mouth ulcers in the experiment group. The incidence of complications such as abdominal distension and intestinal obstruction were significantly lower than that of the control group （P〈0. 05）. Conclusion Chewing gum can effectively promote the gastrectomy patients with gastrointestinal function recovery, reduce the incidence of postoperative complications and be easily used.