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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.

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。

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