食管癌术后早期咀嚼口香糖促进胃肠功能恢复的临床观察

摘要

目的：健观察食管癌患者术后早期咀嚼口香糖促进胃肠功能恢复的效果。方法选取2012年2月～2015年2月于我院治疗的食管癌手术患者46例，随机分为观察组和对照组，各23例。对照组术后给予常规护理、治疗，禁饮食、胃肠减压、空肠造瘘管或鼻肠管行肠内营养，肠功能恢复且术后1周再给予流质饮食。观察组在对照组的基础上于术后第1天起给予咀嚼口香糖4次/d，15～20 min/次，直至恢复进食为止。观察比较两组患者首次肛门排气、排便的时间、术后住院时间以及进食时间口腔、胃肠道并发症的发生情况。结果观察组术后首次肛门排气、排便的时间、术后住院时间早于对照组，P＜0.05，差异具有统计学意义。结论食管癌术后早期咀嚼口香糖能促进胃肠功能恢复，简单廉价、安全且易于被患者接受。%Objective Observation the effect of early chewing gum to promote gastrointestinal function after surgery for esophageal cancer patients’ recovery. Methods Selected 46 cases with esophageal cancer surgery from February 2012 to February 2015 in our hospital, were randomly divided into the observation group and the control group, each group had 23 cases. The control group given conventional nursing care, postoperative treatment, the forbidden food, gastrointestinal decompression, failure of fistula or nasal bowel line enteral nutrition, bowel function recovery and postoperative week to give liquid diet. the observation group on the based treatment on postoperative day one to chew gum 4 times/d, 15 to 20 min/times, until eat was recovery. Compared the ifrst time the anus exhaust, defecation time, postoperative hospital stay, eating mouth, gastrointestinal complications of two groups. Results The observation group patients postoperative anal exhaust, defecation time for the ifrst time, postoperative hospitalization time earlier than the control group obviously, P<0.05, had difference statistically signiifcance. Conclusion Early chewing gum can promote gastrointestinal functional recovery after esophagectomy, simple and cheap, safe and easily accepted by patients.