Department of Obstetrics and Gynecology, Fatih University Medical School, Ankara, Turkey. hasankafali @ hotmail.com
Gynecol Obstet Invest. 2010;69(2):84-7. doi: 10.1159/000260048. Epub 2009 Nov 21.
To assess the effects of gum chewing on postoperative bowel function after cesarean section.
Women who underwent cesarean section were randomized to either a gum-chewing group (n = 74) or a non-gum-chewing group (n = 76). The two groups were compared with respect to the return of bowel activity, postoperative analgesic and antiemetic drug requirement and postoperative hospital stay.
Bowel sounds appeared in a significantly shorter duration of time in the study group, the mean being 5.9 h as compared to 6.7 h in the control group (p < 0.01). The first passage of flatus postoperatively was 22.4 h in the gum-chewing group and 31 h in the control group (p < 0.001). The total length of hospital stay was shorter in the gum-chewing group (2.1 days) than in the control group (2.3 days), but it was not statistically significant (p > 0.05). Postoperative analgesic requirement in both groups was similar, but the postoperative antiemetic need in the gum-chewing group was lower than in the control group (p < 0.01).
On the basis of the tolerability and results on bowel function, gum chewing provides a simple method for early recovery of bowel function after cesarean section.
评估剖宫产术后咀嚼口香糖对肠道功能恢复的影响。
将行剖宫产术的产妇随机分为咀嚼口香糖组（n = 74）和非咀嚼口香糖组（n = 76）。比较两组肠道活动恢复情况、术后镇痛和止吐药物需求以及术后住院时间。
研究组肠鸣音出现时间明显缩短，平均为 5.9 小时，而对照组为 6.7 小时（p < 0.01）。咀嚼口香糖组术后首次排气时间为 22.4 小时，对照组为 31 小时（p < 0.001）。咀嚼口香糖组的总住院时间（2.1 天）短于对照组（2.3 天），但无统计学意义（p > 0.05）。两组术后镇痛需求相似，但咀嚼口香糖组的术后止吐需求低于对照组（p < 0.01）。
基于咀嚼口香糖的耐受性和对肠道功能的影响，咀嚼口香糖为剖宫产术后肠道功能的早期恢复提供了一种简单的方法。
