Effectiveness of Gum Chewing on Reduction of Postoperative Paralytic Ileus for Chinese Colorectal Cancer Patients Underwent Laparoscopic Colorectal Surgery and Enhanced Recovery Program
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 92
- 试验地点
- 1
- 主要终点
- Time to first flatus
研究概览
简要总结
Gum chewing group will have less ileus and early resume of bowel motion than control group.
详细描述
The standardize surgical techniques, less used of epidural analgesia, early ambulation and used of naso-gastric tube for decompression are aimed to reduce the paralytic ileus after abdominal surgery . Most Western studies have examined and found that gum chewing are able to prevent postoperative ileus or promotes early bowel function after abdominal surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with newly diagnosed colorectal cancer undergoing laparoscopic resection in in Queen Mary Hospital
- •At least 18 years
- •Speak Cantonese
- •Able to follow study protocol and chewing gum study
排除标准
- •Cognitive disability
- •Requirement of epidural analgesia
- •Requirement of intensive care unit/ High dependency unit care postoperatively
- •Inability to chew
- •Presence of procedure other than colorectal resection
- •Non Chinese
研究组 & 干预措施
bubble gum chewing and routine care
Start chewing gum on postoperative day at three times daily with no more than 30 minutes till discharged
干预措施: bubble gum (Other)
routine care
Non interventional group will receive existing routine care as usual
结局指标
主要结局
Time to first flatus
时间窗: from postoperative day 0 till an expected average of day 7
Time to passage of flatus after surgery was significantly shorter in the intervention group (22 vs 39 hours, p=0.007).
次要结局
- Time to first bowel movement,(from postoperative day 0 till an expected average of day 7)
- Time to first sense of hunger(from postoperative day 0 till an expected average of day 7)
- Length of stay(from postoperative day 0 till an expected average of day 7)
研究者
Shum Nga Fan
APN
Hospital Authority, Hong Kong