咀嚼口香糖用于妇产科腹部手术后肠功能恢复的研究进展

Research progress of chewing gum applied in postoperative recovery of intestinal function after obstetric and gynecologic surgery

麻痹性肠梗阻是腹部手术后常见的并发症。近年研究发现,术后咀嚼口香糖能促进胃肠功能恢复,缩短首次排气、排便时间,降低肠梗阻发生率并减少住院日。其生理学机制可能与激活头-迷走反射,直接和间接刺激消化道激素分泌与运动功能有关。该方法应用于胃肠外科领域的安全性和有效性已经得到证实,而在妇产科领域,手术部位多位于腹部,目前对妇产科手术后应用咀嚼口香糖促进胃肠功能恢复,降低术后并发症的研究,尚处于起步阶段。笔者拟总结目前妇产科手术后咀嚼口香糖的应用现状,聚焦支持和质疑该方法作用的相关研究,旨在为临床工作提供指导,并提出以后的进一步研究方向。

Postoperative paralytic ileus is a common complication after abdominal surgery. Chewing gum has been reported to promote recovery of gastrointestinal function after abdominal surgery,shorten the first time of flatus and defecations,decrease the incidence rate of postoperative ileus and hospital stays. It＇s physiology mechanism maybe the cephalic vagal pathway activation and directly or indirectly triggering the release of gastrointestinal hormones and intestinal motor function. The safety and effectiveness of chewing gum in the field of gastrointestinal surgery has been confirmed,but in the field of obstetrics and gynecology, most were abdominal surgery, the research of chewing gum applied in postoperative of obstetric and gynecologic surgery to promote recovery of gastrointestinal function and reduce postoperative complication is still in the beginning stage. We summarized the research progress of chewing gum applied in postoperative of obstetric and gynecologic surgery and presented the positive and negative opinion about it to guide the clinical practice and the future research orientation.