Choi Hoon, Kim Jae Heon, Park Jae Young, Ham Byeong Kuk, Shim Ji sung, Bae Jae Hyun
Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
Asia Pac J Clin Oncol. 2014 Mar;10(1):53-9. doi: 10.1111/ajco.12113. Epub 2013 Aug 12.
To investigate the efficacy of gum chewing in aiding the recovery of bowel motility after a radical retropubic prostatectomy
Thirty-seven patients who underwent retropubic radical prostatectomy from January 2010 to February 2012 for localized prostate cancer were enrolled. They were divided, in an alternate pattern, into the gum-chewing group and the control group. Patient demographics and operative outcomes were compared. The time to first postoperative passage of flatus and bowel movement, the duration of hospital stay and the side effects were recorded.
The patients' demographics and operative outcomes showed no differences between the control (n = 19) and gum-chewing (n = 18) groups. The time to flatus was significantly shorter in the gum-chewing group than in the control group (27.1 vs 39.8 h), and the time-to-first bowel movement was faster in gum-chewing patients (46.1 vs 60.7 h). Surgical hospital stay was shorter in gum-chewing group than in the control group (5.1 vs 6.4 days).
Gum chewing has a positive effect on the recovery of bowel motility and reduction of surgical hospital stay after a radical prostatectomy. Although retropubic radical prostatectomy does not involve bowel manipulation, gum chewing is an effective and side-effect-free method for the resolution of ileus after surgery.
探讨咀嚼口香糖对耻骨后根治性前列腺切除术后肠道蠕动恢复的作用。
选取2010年1月至2012年2月间因局限性前列腺癌接受耻骨后根治性前列腺切除术的37例患者。按照交替模式将他们分为咀嚼口香糖组和对照组。比较患者的人口统计学特征和手术结果。记录术后首次排气和排便的时间、住院时间及副作用。
对照组（n = 19）和咀嚼口香糖组（n = 18）患者的人口统计学特征和手术结果无差异。咀嚼口香糖组的排气时间显著短于对照组（27.1小时对39.8小时），咀嚼口香糖患者的首次排便时间更快（46.1小时对60.7小时）。咀嚼口香糖组的手术住院时间短于对照组（5.1天对6.4天）。
咀嚼口香糖对根治性前列腺切除术后肠道蠕动的恢复及缩短手术住院时间有积极作用。虽然耻骨后根治性前列腺切除术不涉及肠道操作，但咀嚼口香糖是一种有效且无副作用的解决术后肠梗阻的方法。
