在区域麻醉下进行剖宫产术后早期口服补液。
Early oral hydration after cesarean delivery performed under regional anesthesia.
作者信息
Mulayim Baris, Celik Nilufer Y, Kaya Serdar, Yanik Filiz F
机构信息
Department of Obstetrics and Gynecology, Baskent University, Alanya, Turkey.
出版信息
Int J Gynaecol Obstet. 2008 Jun;101(3):273-6. doi: 10.1016/j.ijgo.2007.11.023. Epub 2008 Feb 14.
OBJECTIVE
To establish an early, safe, and well-tolerated time to start oral hydration after cesarean delivery.
METHODS
A prospective randomized trial of women delivered by cesarean under regional anesthesia at Alanya Research and Medical Center, Turkey, between 2005 and 2006. A clear liquid drink was given to 100 women in the early oral intake (EOI) group 2 hours after surgery, and to 100 women in the delayed oral intake (DOI) group 8 hours after surgery. If the drink was tolerated, solid foods were then given gradually.
RESULT
In the EOI and DOI groups, respectively, the mean time for the return of bowel movements was 4.4+/-1.9 h vs 6.3+/-2.4 h; mean time elapsed until initial passage of flatus was 12.1+/-5.5 h vs 24.1+/-6.0 h; and mean duration of hospitalization was 29.6+/-5.5 h vs 44.6+/-6.8 h (P<0.05).
CONCLUSION
Following cesarean delivery under regional anesthesia, oral hydration given as early as 2 hours after the operation is safe and well tolerated.
目的
确定剖宫产术后开始口服补液的早期、安全且耐受性良好的时间。
方法
2005年至2006年在土耳其阿拉尼亚研究与医疗中心进行的一项前瞻性随机试验，研究对象为接受区域麻醉下剖宫产的女性。术后2小时给100名早期口服摄入（EOI）组的女性饮用清亮液体饮料，术后8小时给100名延迟口服摄入（DOI）组的女性饮用。如果饮料能耐受，则逐渐给予固体食物。
结果
EOI组和DOI组中，肠道恢复蠕动的平均时间分别为4.4±1.9小时和6.3±2.4小时；首次排气的平均时间分别为12.1±5.5小时和24.1±6.0小时；平均住院时间分别为29.6±5.5小时和44.6±6.8小时（P<0.05）。
结论
在区域麻醉下剖宫产术后，术后2小时尽早给予口服补液是安全且耐受性良好的。
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