摘要
目的探讨非营养性咀嚼运动在胃癌围手术期护理中加速康复的效果。方法将2007年9月～2010年9月进行胃癌手术的98例患者，随机分为观察组和对照组，其中观察组51例，对照组47例。2组患者均于手术后早期采用少量肠内营养，观察组于手术术后4-12小时，开始咀嚼无糖口香糖，每次8—16min，每日5次。对照组患者术后均不被要求做任何咀嚼动作。比较2组患者术后1、3、7天血清白蛋白、术后肠呜音恢复、首次肛门排气和首次排便时间。结果观察组患者术后血清白蛋白水平高于对照组，且术后肠鸣音恢复以及首次肛门排气、排便时间较对照组更早，差异有统计学意义（p均〈0．05）。结论时于胃癌手术患者，早期非营养性咀嚼运动是一种简单、有效保护肠道功能的辅助治疗方法，有利于患者早日康复。
Objective：To figure out the effect of masticatory movement in perioperative care of patients with gastric cancer. Methods：98 patients with gastric cancer surgery from September 2009 to September 2010 were were randomly divided into control group （47 patients） and intervention group （51 patients）. All the patients were treated by enteral nutrition early after surgery. The patients in intervention group chewed sugar-free gum about 8-16 minutes 4-12 hours after the surgery. They were asked to do this masticatory movement five times per day.The patients in control group were not asked to do any masticatory movement. The serum albumin, borborygmus,pass gas,and defecation status on Day 1,Day 3,and Day 7 after surgery were compared with the two groups. Results： The serum albumin in intervention group was more than that of the control group （p〈0.05）. The borborygmus,pass gas,and defecation status after surgery in the intervention group were better than that of the control group （all ps〈0.05）.Conelusion：Masticatory movement was easy to conduct for patients with gastric cancer,which could protect their intestinal tract function and help them rehabilitate.
关键词
胃癌
围手术期
胃肠道功能
咀嚼运动
Gastric cancer
Perioperative care
Intestinal tract function
Masticatory movement
