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目的:观察咀嚼口香糖对膀胱全切尿流改道术患者术后肠道康复的影响。方法:选取2014年11月至2015年11月间北京大学第一医院泌尿外科收治的60例行膀胱全切尿流改道术(回肠膀胱术)的患者,将入组患者随机分入口香糖咀嚼组、安慰剂对照组(腹部理疗仪治疗)和空白对照组,记录患者术后恢复肛门排气时间、腹胀或腹痛的发生率以及肠道相关并发症的发生情况,并进行比较。结果:口香糖咀嚼组患者术后肠蠕动恢复时间比非口香糖咀嚼组显著提前,3组间肠道相关并发症差异没有统计学意义。结论:咀嚼口香糖可以促进膀胱全切回肠尿流改道患者手术后肠道功能的康复,方法简便安全,可以作为术后常规辅助治疗。
Objective: To observe the effects of chewing chewing gum on postoperative intestinal rehabilitation in patients undergoing total bladder resection of urinary diversion. Methods: Sixty patients undergoing total cessation of urinary diversion (ileum bladder surgery) from November 2014 to November 2015 were enrolled in the Department of Urology, Peking University First Hospital. The patients were randomly divided into chewing gum chewing group , Placebo control group (treatment of abdomen physiotherapy) and blank control group. The incidences of postoperative anal exhaust time, abdominal distension or abdominal pain and the incidence of intestinal complications were recorded and compared. Results: The recovery time of intestinal peristalsis in chewing gum chewing group was significantly earlier than that in chewing non-chewing gum group. There was no significant difference in intestinal complication between the three groups. Conclusion: Chewing gum can promote the recovery of intestinal function after operation in patients with bladder ileal urinary diversion. The method is simple and safe and can be used as a routine adjuvant therapy.