Effect of Chewing Gum on Abdominal Distension in Patients After Lumbar Spine Surgery

Study Overview
=================
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

Official Title
-----------------
A Randomized Controlled Study to Evaluate the Effectiveness of Chewing Gum in Improving Abdominal Distension After Lumbar Spine Surgery

Conditions
-----------------
Lumbar Spondylosis

Intervention / Treatment
-----------------
* Procedure: Gum chewing


Participation Criteria
=================
Eligibility Criteria
-----------------
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

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br>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 | Procedure: Gum chewing<br>* 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<br>|
| No Intervention: Control group<br>The control group received routine nursing after surgery. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Physical examination | Number of bowel sounds | After surgery to discharge, an average of 4 days | 
| Time points | First anal exhaust time, first defecation time | After surgery to discharge, an average of 4 days | 
| Medication | Whether the medication for exhaust and defecation is used. If used, what kind of medicine and the dosage of the medicine. | After surgery to discharge, an average of 4 days | 
| Incidence of abdominal distension | Incidence of abdominal distension | After surgery to discharge, an average of 4 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Oral comfort | Whether the oral comfort is applied. | After surgery to discharge, an average of 4 days | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Lumbar degenerate diseases, Postoperative management, Abdominal distension