Objective To observe the effect of strict designed form for chewing gum on the first anus exhaust and defecation after laparoscopic surgery,and the actual compliance of chewing gum was investigate.Methods Totally 106 patients with abdominal operation in gynaecology department of Shaanxi Provincial People's Hospital from August to December 2016 were classified into chewing gum group and control group according to stratified random sampling.Chewing gum group had 53 cases,and the principle and requirement of chewing gum in patients and relatives were explained before operation.The xylitol chewing gum was chosed and chewed 2 to 3 gums in the 2 hours after operation,chewed about 30 times every minute and last for 15 to 20 minutes each time.From 7∶00 to 22∶00 the interval was 2 hours, and the interval at the rest time must not exceed 3 hours until exhaust.Fifty-three cases in control group received routine nursing,and started to drink a small amount of water 6 hours after operation,and gradually started to eat.Other dietary guidance and medical care measures were identical in both groups.Compared the first anus exhaust time,defecation time,abdominal distension and postoperative hospitalization time in two groups,and the actual compliance of chewing gum was investigated.Results The first anus exhaust time and the first defecation time of chewing gum group were (19.60±7.59) hours and (36.77±17.16) hours respectively,while those of the control group were (33.79±10.54)hours and (53.25±16.92) hours,and the differences were statistically significant(P<0.05).No abdominal distension occurred in chewing gum group,8 cases (15.1%) in control group had abdominal distension,the difference was statistically significant(P<0.05).The postoperative hospitalization time of chewing gum group and control group were (3.94±1.87) days and (4.42±1.26)days respectively,and the difference was statistically significant(P>0.05).The actual compliance investigation of chewing gum was selected in 53 cases with the actual completion of 48 cases(90.6%).The averaged actual chewing number was (4.39±1.35) times,the averaged actual chewing time in each duration was (16.16±2.05) minutes,the average actual chewing interval was (2.38±0.26) hours.Conclusion The well designed form of chewing gum postoperative can shorten the postoperative anus exhaust and defecation time, and it can reduce postoperative abdominal distention.

Objective To investigate the association between hypertriglyceridemia and acute pancreatitis in patients with type 2 diabetes,in order to guide the prevention and treatment of acute pancreatitis in patients with diabetes. Methods A total of 46 patients with type 2 dia-betes complicated by acute pancreatitis who were admitted to The First Hospital of Yulin from January 2013 to December 2016 were enrolled as study group,and 52 patients with type 2 diabetes alone who were admitted to our hospital within the same period of time were enrolled as control group. Related data were recorded,including age,sex,course of diabetes,body height and weight,abdominal circumference, smoking,drinking,gallstones,hypertension,blood glucose,and blood lipids [total cholesterol (TC),triglyceride (TG),high - density lipoprotein cholesterol (HDL - C),and low - density lipoprotein cholesterol (LDL - C)]. The incidence rates of complications associated with diabetes were analyzed. The chi - square test was used for comparison of categorical data (general status,blood lipids,and diabetic complications)between two groups;and the t - test was used for comparison of such data between two groups. A logistic regression analysis was used for multivariate analysis. Results There were no significant differences between the two groups in age,sex composition,body height and weight,abdominal circumference,smoking and drinking habits,hypertension,gallstones,and course of diabetes (all P >0. 05). The study group had significantly higher levels of TC,TG,and LDL - C than the control group (t = 5. 122,4. 127,and 3. 524, P < 0. 01,< 0. 01,and = 0. 012),while the control group had a significantly higher level of HDL - C than the study group (t = 2. 231, P = 0. 037). The study group had a significantly higher incidence rate of diabetic microangiopathy (diabetic retinopathy and chronic diabetic nephropathy)than the control group (χ2 = 92. 126,P < 0. 01). The multivariate analysis showed that compared with those with a normal TG level,the type 2 diabetic patients with a high TG level had a risk of acute pancreatitis increased by 47. 6% (odds ratio [OR]= 1. 476,P =0. 031),and the type 2 diabetic patients with a high LDL - C level had a risk of acute pancreatitis increased by 48. 7% (OR = 1. 487,P =0. 045). Conclusion Blood lipids should be measured for patients with type 2 diabetes,and blood glucose and blood lipid levels should be actively controlled for patients with type 2 diabetes complicated by hypertriglyceridemia,in order to reduce the incidence rate of acute pan-creatitis.