偏好食物刺激联合口香糖咀嚼与下肢功能锻炼操优化妇科腹腔镜手术患者术后胃肠功能的效果观察

Effect of preferential food stimulation combined with chewing gum chewing and lower limb functional exercise to optimize postoperative gastrointestinal function in patients underwent gynecological laparoscopic surgery

摘要:

目的 探究偏好食物刺激联合口香糖咀嚼与下肢功能锻炼操对妇科腹腔镜手术患者术后胃肠功能的影响。方法 按随机数表法将患者分为食物刺激联合口香糖咀嚼与下肢锻炼组（FCL组）和口香糖咀嚼与下肢锻炼组（CL组），每组60例。患者均行妇科腹腔镜手术，FCL组在术后采用食物刺激联合口香糖咀嚼与下肢锻炼法改善胃肠功能，CL组在术后采用口香糖咀嚼与下肢锻炼法改善胃肠功能。比较两组患者血浆胃泌素水平、第一次排气及排便时间、数字分级评分法（NRS）、不良反应发生情况的差异性。结果 手术后72 h，FCL组血浆胃泌素水平为（350.75±27.46）pmol/L，明显高于CL组的（269.63±14.96）pmol/L（P < 0.05）；CL组第一次排气及排便时间为（25.56±2.46）和（48.74±5.97）h，FCL组为（16.74±2.01）和（34.95±4.92）h，FCL组明显短于CL组（P < 0.05）；手术后24 h，CL组NRS评分为（5.83±1.46）分，FCL组为（3.17±1.02）分，手术后72 h，CL组NRS评分为（4.74±1.75）分，FCL组为（2.13±0.89）分，FCL组明显低于CL组（P < 0.05）；FCL组不良反应情况发生率为6.67%，明显低于CL组的25.00%（P < 0.05）。结论 偏好食物刺激联合口香糖咀嚼与下肢功能锻炼对妇科腹腔镜手术患者术后胃肠功能的改善效果明显优于口香糖咀嚼与下肢功能锻炼。

Abstract:

Objective To explore the effect of preference food stimulation combined with chewing gum chewing and lower limb functional exercise to optimize postoperative gastrointestinal function in patients underwent gynecological laparoscopic surgery.Methods Patients were divided into food stimulation combined with chewing gum chewing and lower limb exercise group (FCL group) and chewing gum chewing and lower limb exercise group (CL group) according to the random number table method, there were 60 patients in each group. Food stimulation after gynecological laparoscopic surgery combined with chewing gum chewing and lower limb exercise for gastrointestinal function in FCL group; The patients after gynecological laparoscopic surgery were treated with chewing gum chewing and lower limbs to treat gastrointestinal function in CL group. The differences in the levels of plasma gastrin, the time of first gas and defecation, NRS score, and adverse reactions between the two groups were analyzed.Results 72 h after the operation, plasma gastrin was (350.75 ± 27.46) pmol/L in the FCL group, there was significantly higher than that in the CL group [(269.63 ± 14.96) pmol/L] (P < 0.05). The first exhaust and defecation time was (25.56 ± 2.46) h and (48.74 ± 5.97) h in the CL group, (16.74 ± 2.01) h and (34.95 ± 4.92) h in the FCL group, and the first exhaust and defecation time in the FCL group, there was significantly shorter than that in the CL group (P < 0.05). 24 h after the operation, the NRS score of the CL group was (5.83 ± 1.46), the FCL group was (3.17 ± 1.02). 72 h after the operation, the NRS score of the CL group was (4.74 ± 1.75), the FCL group was (2.13 ± 0.89), the FCL group was significantly lower than that in the CL group (P < 0.05). The incidence of adverse events in the FCL group was 6.67%, there was significantly lower than that in CL group (25.00%) (P < 0.05).Conclusion The preference for food stimulation combined with chewing gum chewing and lower limb functional exercise is better than the chewing gum chewing and lower limb functional exercise.