Objective To investigate the effect of sham feeding on gastrointestinal function recovery and oral environment after esophageal carcinoma surgery.Methods A total of 80 cases after esophageal carcinoma surgery in our hospital from December 2014 to September 2015 were selected and divided into two groups according to the stochastic method,40 cases in each group.The control group were given routine rehabilitation exercise and nutrition therapy after operation until eating.The observation group was given sugar-free gum 6 h after the operation on the basis of the control group.Gastrointestinal function,length of stay and adverse reactions between the two groups were compared.Results The first exhaust time,first defecation time and recovery time of bowel sound of the observation group were(14.93±3.69),(44.53±9.10) and (23.51±6.87)h,which were significantly lower than that of the control group[(22.23±4.93),(57.20±10.71) and (29.64±9.46)h],the differences were statistically significant(P<0.05).The average length of stay of the observation group was(20.57±5.29)d,which was significantly lower than that of the control group[(25.56±7.45)d],the differences were statistically significant(P<0.05).The adverse effects rate of the observation group was significantly lower than the control group(P<0.05).Conclusion Sham feeding could promote gastrointestinal function recovery,shorten enteroplegia time and improve the oral environment,as well as reduce clinical adverse reactions.It is worthy of clinical promotion.%目的 探讨假饲对食管癌切除术后患者胃肠功能恢复及口腔环境的影响.方法 选择该院2014年12月至2015年9月收治的80例食管癌患者,将其随机分为对照组和观察组,每组40例.对照组患者术后给予常规康复锻炼和营养治疗,直至患者恢复进食;观察组患者术后在对照组的基础上,自术后6 h给予咀嚼木糖醇口香糖,直至患者恢复进食.比较两组患者胃肠功能恢复情况、住院时间及临床不良反应的差异.结果 观察组患者术后首次排气时间、首次排便时间、肠鸣音恢复时间分别为(14.93±3.69)、(44.53±9.10)、(23.51±6.87)h,明显低于对照组的(22.23±4.93)、(57.20±10.71)、(29.64±9.46)h,差异具有统计学意义(P<0.05);观察组患者平均住院时间为(20.57±5.29)d,明显低于对照组的(25.56±7.45)d,差异具有统计学意义(P<0.05);观察组患者术后不良反应发生率较对照组均有明显下降,差异具有统计学意义(P<0.05).结论 假饲可以有效促进食管癌术后患者胃肠功能的恢复,缩短肠麻痹时间,改善口腔环境,减少临床不良反应,具有临床推广价值.
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