咀嚼口香糖对老年胃肠手术患者胃肠功能恢复的影响
Influence of chewing gum on recovery of gastrointestinal function in elder patients after gastrointestinal operation
黄艳青 1凌玉芳 1黄秋环 1黄梅雪1
作者信息
- 1. 右江民族医学院附属医院,广西百色533000
- 折叠
摘要
目的 探讨咀嚼口香糖对老年胃肠手术患者术后胃肠功能恢复的影响.方法 将60例年龄＞60岁且行胃肠手术的患者随机分为A组(常规组)、B组(早期康复组)、C组(口香糖咀嚼组),每组20例.A组患者接受胃肠手术术后常规护理；B组患者在此基础上给予术后早期胃肠功能恢复锻炼,如床上活动、腹部按摩、缩肛运动等；C组患者于常规护理基础上,在术后8～12 h开始咀嚼口香糖,每天3次,每次15～20 min.记录并比较3组患者术后恢复肛门排气时间,术后口干、口臭、恶心、腹胀等不适症状发生情况,术后住院时间.结果 术后恢复肛门排气时间,B、C组较A组均明显缩短,差异有统计学意义(P＜0.05)；术后不适发生情况C组少于A、B组,差异有统计学意义(P＜0.05);术后住院时间比较,3组间没有明显差异(P＞0.05).结论 咀嚼口香糖可以促进老年胃肠手术患者术后肠蠕动的恢复,预防腹胀,消除术后口干、口臭等不适症状且方法简便安全,可以作为术后辅助治疗在临床上推广使用.
Abstract
Objective To investigate the effect of chewing gum in the recovery of gastrointestinal function in elder patients after gastrointestinal surgery. Methods A total of 60 patients who were older over 60 years and had taken gastrointestinal operation were randomly divided into group A (control group), group B( early rehabilitation group) , group C(chewing gum group) ,20 cases in each group. Patients in group A underwent gastrointestinal operation conventional postoperative care; patients in group B were given early functional training based on the usual care,such as bed activity,abdominal massage, anal contraction movement; patients in group C received routine nursing care and were asked to chew gum one 8～12 h after surgery,3 times per day and 15～20 minutes each time. Then to compare the differences between the those groups in complaints such as postoperative xerostomia,bad breath,nausea and abdominal distention; The first time of postoperative flatus and postoperative hospital stay. Results In the time of postoperative flatus,group B and C were significantly shorter than A group! P<0. 05) ;The postoperative discomfort occurred in group C less than group A snd B(P<0. 05); Compared the postoperative hospital stay between the 3 groups,there was no significant difference( P>0. 05). Conclusion Chewing gum can promote intestinal peristalsis recovery of seniurn patients after gastrointestinal operation,and prevent abdominal distension,eliminate postoperative xerostomia,bad breath and other symptoms. As a simple,convenient and safe procedure.gum chewing can be used as an accessory therapy in recovery of gastrointestinal function after operation.
关键词
咀嚼/口香糖/消化系统外科手术/胃肠活动Key words
Mastication/Chewing Gum/Digestive System Surgical Procedures/Gastrointestinal Motility引用本文复制引用
出版年
2012
NETL
NSTL
维普
万方数据