摘要目的 探讨结直肠癌患者根治术后通过咀嚼口香糖对术后肠功能的影响.方法 选取2015年10月—2016年4月在某院急诊外科、胃肠外科治疗的69例结直肠癌根治术后的患者为研究对象,采用随机数表法分为对照组(n=32)与观察组(n=37).通过循证医学的方法,术后对照组进行常规的护理,观察组在常规护理同时咀嚼口香糖,观察两组患者的肛门(造瘘口)排气时间、排便时间、住院天数、住院费用、并发症情况.结果 观察组的肛门(造瘘口)排气时间为(45.91±16.36)h,住院天数为(11.13±2.65)d,均低于对照组,差异有统计学意义(t值分别为2.52、2.63;P<0.05);两组患者术后并发症相比,观察组术后发生腹胀19例、恶心/呕吐7例,均低于对照组,差异有统计学意义(χ2值分别为5.12、4.38;P<0.05);但有4例留置胃管患者不能耐受口香糖咀嚼.结论 咀嚼口香糖能有效缩短结直肠癌患者根治术后肠功能恢复时间,减少腹胀、恶心、呕吐发生,减少住院天数.

abstractsObjective To investigate the effect of chewing gum on intestinal function in patients with colorectal.Methods From October 2015 to April 2016, 69 patients with colorectal cancer radical operation treated in our emergency surgical ward and gastrointestinal surgical ward were selected as the research object. They were randomly divided into control group (n=32) and observation group (n=37). The patients in the control group received standard care while the patients in the observation group received standard care adding chewing gum and then observed all the patient's recovery time of anal (stoma) exhaust time, defecation time, hospitalization time, hospitalization expenses and complications.Results The data of anal(stoma) exhaust time (45.91±16.36)hour, hospital stay (11.13±2.65) day of observation group were significantly lower than those of control group time (t=2.52, 2.63,P<0.05). Comparing the complications after treatment of patients in two group, there were 19 patients suffering abdominal distension and 7 patients suffering nausea and vomit in the observation group, they were lower than the control group with significant differences (χ2=5.12, 4.38;P<0.05). But there were 4 patients with stomach tube in observation group could not tolerate chewing gum.Conclusions Chewing gum can effectively shorten the recovery time of gastrointestinal function of colorectal cancer patients after radical operation and hospital stay. Meanwhile, it can reduce the incidence of abdominal distension, nausea and vomiting.