Lumbar Spondylosis
Conditions
Keywords
Lumbar degenerate diseases, Postoperative management, Abdominal distension
Brief summary
According to chewing gum can promote the recovery of gastrointestinal function, it is used as an intervention measure for patients after lumbar surgery to evaluate the effect of chewing gum on improving abdominal distension of patients after lumbar surgery, so as to provide basis for the application and promotion of chewing gum in lumbar postoperative nursing
Detailed description
In this study, the patients after lumbar surgery were given chewing gum after anesthesia. The exhaust time, defecation time and the incidence of abdominal distension of the two groups were compared, and the significance of chewing gum in improving abdominal distension after lumbar surgery was discussed
Interventions
PROCEDUREGum chewing
The patients in the experimental group returned to the ward for general anesthesia, started to wake up for 2 hours, chewed xylitol gum, and the professional nurses distributed it on time every 2 hours on the operation day, then 3 times / day, 15-20 minutes / time, 2 tablets / time. Body position: lateral position. The first anal exhaust stop chewing, normal sleep at night (8 p.m.), do not chew gum. Gum waste must be identified
Sponsors
Peking University Third Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* The subjects aged 18 years or above were able to chew together; * Good at listening, speaking, reading and writing; * Lumbar degenerative disease was definitely diagnosed; * General anesthesia was used; * Methods: posterior lumbar decompression, bone graft fusion and internal fixation; * No history of gum allergy;
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physical examination | After surgery to discharge, an average of 4 days | Number of bowel sounds |
| Time points | After surgery to discharge, an average of 4 days | First anal exhaust time, first defecation time |
| Medication | After surgery to discharge, an average of 4 days | Whether the medication for exhaust and defecation is used. If used, what kind of medicine and the dosage of the medicine. |
| Incidence of abdominal distension | After surgery to discharge, an average of 4 days | Incidence of abdominal distension |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oral comfort | After surgery to discharge, an average of 4 days | Whether the oral comfort is applied. |
Countries
China
Outcome results
None listed