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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >Effect of chewing gum on the postoperative recovery of gastrointestinal function after gynaecological laparoscopic surgery
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Effect of chewing gum on the postoperative recovery of gastrointestinal function after gynaecological laparoscopic surgery

机译：口香糖对妇科腹腔镜手术后胃肠功能恢复的影响

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Background: The incidence of postoperative ileus (POI) after gynaecological surgery is 10-15%. Chewing gum following general surgery improves outcomes, including early flatus, early bowel sounds, and shortening of the hospitalisation period. This study aims to investigate the effect of postoperative gum chewing on bowel motility after laparoscopic gynaecologic surgery. Methods: 101 women who underwent laparoscopic surgery for benign gynaecological conditions under general anaesthesia were recruited. 50 patients received sugar free chewing gum post operatively and the outcomes were compared with the control group. The study’s primary end points were the time to first regular bowel sounds and time to passage of flatus after surgery. Secondary end points were the time to first defecation, patient satisfaction, and potential side effects of postoperative gum chewing. Results: We found a significantly shorter interval between surgery and passage of flatus in the intervention group (median 10 hours compared with 13 hours p=0.0151) and a significantly higher rate of regular bowel sounds 3 hours (74% compared with 45%; p= 0.003) and 5 hours after surgery (91% compared with 78%; p=0.01). There was no significant difference in time to first defecation between groups (median 18 hours compared with 20 hours; p=0.222). Conclusions: Gum chewing seems to have beneficial effects on bowel motility when used in postoperative care after minimally invasive surgery. Gum chewing should be recommended to patients after gynaecological laparoscopic surgery.
机译：背景：妇科手术后肠梗阻（POI）的发生率为10-15％。普通手术后的口香糖可改善结局，包括早期肠胀气，早期肠鸣音和缩短住院时间。本研究旨在探讨腹腔镜妇科手术后咀嚼口香糖对肠蠕动的影响。方法：招募101名在全身麻醉下因良性妇科条件进行腹腔镜手术的妇女。术后接受无糖口香糖50例，并与对照组进行比较。这项研究的主要终点是手术后首次排便的时间和肠胃气胀的时间。次要终点是首次排便的时间，患者满意度以及术后口香糖咀嚼的潜在副作用。结果：我们发现干预组的肠胃气从通过到手术之间的时间间隔明显缩短（中位时间为10小时，而13小时为p = 0.0151），而常规肠鸣音的发生率则明显高于3小时（74％，而45％; p）。 = 0.003）和术后5小时（91％，而78％; p = 0.01）。两组之间第一次排便的时间没有显着差异（中位时间为18小时，而20小时为中值; p = 0.222）。结论：口香糖在微创手术后的术后护理中似乎对肠蠕动具有有益作用。妇科腹腔镜手术后，建议患者嚼口香糖。

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