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本文引用的文献

1
Chewing Gum for Intestinal Function Recovery after Colorectal Cancer Surgery: A Systematic Review and Meta-Analysis.口香糖对结直肠癌术后肠道功能恢复的影响：一项系统评价与Meta分析
Gastroenterol Res Pract. 2017;2017:3087904. doi: 10.1155/2017/3087904. Epub 2017 Oct 8.
2
Chewing gum for intestinal function recovery after caesarean section: a systematic review and meta-analysis.剖宫产术后使用口香糖促进肠道功能恢复：一项系统评价与Meta分析
BMC Pregnancy Childbirth. 2017 Apr 18;17(1):105. doi: 10.1186/s12884-017-1286-8.
3
Effect of bed exercises and gum chewing on abdominal sounds, flatulence and early discharge in the early period after caesarean section.床上运动和咀嚼口香糖对剖宫产术后早期腹部肠鸣音、肠胃胀气及早期出院的影响。
J Clin Nurs. 2016 May;25(9-10):1416-25. doi: 10.1111/jocn.13245. Epub 2016 Mar 22.
4
The Effect of Gum Chewing, Early Oral Hydration, and Early Mobilization on Intestinal Motility After Cesarean Birth.剖宫产术后咀嚼口香糖、早期口服补液及早期活动对肠道蠕动的影响。
Worldviews Evid Based Nurs. 2015 Dec;12(6):380-8. doi: 10.1111/wvn.12125. Epub 2015 Nov 27.
5
Usefulness of chewing gum for recovering intestinal function after cesarean delivery: A systematic review and meta-analysis of randomized controlled trials.剖宫产术后嚼口香糖对恢复肠道功能的有效性：一项随机对照试验的系统评价和荟萃分析
Taiwan J Obstet Gynecol. 2015 Apr;54(2):116-21. doi: 10.1016/j.tjog.2014.10.004.
6
Perspectives on the importance of postoperative ileus.术后肠梗阻重要性的观点
Curr Med Res Opin. 2015 Apr;31(4):675-6. doi: 10.1185/03007995.2015.1027184.
7
Randomized clinical trial comparing postoperative outcomes of early versus late oral feeding after cesarean section.比较剖宫产术后早期与晚期经口喂养术后结局的随机临床试验。
J Obstet Gynaecol Res. 2014 Jun;40(6):1649-52. doi: 10.1111/jog.12246.
8
Effects of gum chewing on postoperative bowel motility after caesarean section: a meta-analysis of randomised controlled trials.咀嚼口香糖对剖宫产术后肠动力的影响：一项随机对照试验的荟萃分析。
BJOG. 2014 Jun;121(7):787-92. doi: 10.1111/1471-0528.12662. Epub 2014 Mar 14.
9
Chewing gum in preventing postoperative ileus in women undergoing caesarean section: a systematic review and meta-analysis of randomised controlled trials.咀嚼口香糖预防剖宫产术后女性肠麻痹：随机对照试验的系统评价和荟萃分析。
BJOG. 2014 Jun;121(7):793-9; discussion 799. doi: 10.1111/1471-0528.12696. Epub 2014 Mar 14.
10
Chewing sugar-free gum reduces ileus after cesarean section in nulliparous women: a randomized clinical trial.咀嚼无糖口香糖可降低初产妇剖宫产术后肠梗阻的发生率：一项随机临床试验。
Iran Red Crescent Med J. 2013 Apr;15(4):330-4. doi: 10.5812/ircmj.6458. Epub 2013 Apr 5.

脊髓麻醉下剖宫产术后咀嚼口香糖与肠道功能

Gum chewing and bowel function after Caesarean section under spinal anesthesia.

作者信息

Akalpler Ozlem, Okumus Hulya

机构信息

Ozlem Akalpler, M.Sc. Department of Obstetrics, Women's Health and Gynecology, Faculty of Nursing, Near East University, Nicosia, Cyprus.

Prof. Dr. Hulya Okumus, Department of Obstetrics, Women's Health and Gynecology, Faculty of Nursing, 9 Eylul University, Izmir, Turkey.

出版信息

Pak J Med Sci. 2018 Sep-Oct;34(5):1242-1247. doi: 10.12669/pjms.345.15772.

DOI:10.12669/pjms.345.15772
PMID:30344584
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6191783/
Abstract

OBJECTIVE

To determine the effect of gum chewing on bowel function postoperatively in women after cesarean delivery under spinal anesthesia.

METHODS

This semi-experimental study was conducted at Near East University Hospital Obstetrics and Gynecology Clinic in Turkish Republic of Northern Cyprus with 45 women in both the +experimental and control groups, between October 2016 and June 2017. The women in the experimental group chewed gum two hours after surgery until gut sounds were heard and nutrition was given orally.

RESULTS

The mean age of the women was 30.20 ± 4.88 in the experimental group and 30.85 ± 4.47 in the control group. In the control group, the mean time of flatulation was 26.33 ± 7.54 hours, whereas the mean time was 13.44 ± 6.56 hours in the experimental group. The mean duration to the hearing of intestinal sounds was 16.35 ± 5.20 hours in the control group and 12.62 ± 7.73 hours in the experimental group.

CONCLUSION

The results of the present study indicate that sugar free gum chewing in the post-operative period which is cesarean section under spinal anesthesia shortened the duration of the intestinal movement, the time of first flatulation, and discharge time.

摘要

目的

确定剖宫产术后接受脊髓麻醉的女性咀嚼口香糖对术后肠道功能的影响。

方法

本半实验性研究于2016年10月至2017年6月在北塞浦路斯土耳其共和国近东大学医院妇产科诊所进行，实验组和对照组各有45名女性。实验组女性在术后两小时开始咀嚼口香糖，直至听到肠鸣音并开始口服营养。

结果

实验组女性的平均年龄为30.20±4.88岁，对照组为30.85±4.47岁。对照组的平均排气时间为26.33±7.54小时，而实验组为13.44±6.56小时。对照组听到肠鸣音的平均时长为16.35±5.20小时，实验组为12.62±7.73小时。

结论

本研究结果表明，脊髓麻醉下剖宫产术后咀嚼无糖口香糖可缩短肠道蠕动时间、首次排气时间和出院时间。