咀嚼口香糖在剖宮產(chǎn)術(shù)后胃腸道功能恢復(fù)中的作用.pdf

1、同濟(jì)大學(xué)醫(yī)學(xué)院碩士學(xué)位論文咀嚼口香糖在剖宮產(chǎn)術(shù)后胃腸道功能恢復(fù)中的作用姓名：商宏愷申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：婦產(chǎn)科指導(dǎo)教師：童曉文20090501ABSTRACToBJECTIVE：Postoperativeileus(POI)iSoneofthecommonproblemsafterabdominalsurgeriesItcontributestodelayedrecoveryandprolongshospitalstayShamfee

2、ding，suchasgumchewing，canaccelerateretumofbowelfunctionandreducemorbidityandlengthofhospitalstayThisstudyaimedtodeterminewhethergumchewingintheimmediatepostoperativeperiodfacilitatesareturntoboweIfunctionincesareandelive

3、rypatientsAndthebreastfeedingwasalsoconcernedMETHoDS：386patientswhounderwentcesareandeliverywererandomlyassignedtoagum—chewinggroup(GroupG，n=195)oracontrolgroup(GroupC，n2191)Demographicdatadurationofsurgery，typeofanesthe

4、sia，andtimeofdischargefromhospitalwererecordedPatientsinthegumchewinggroupchewedgum3timesperdayassoonaLsreturningfromtheatretothewardtillthetimetheydefecatedordischargeThettestandPearsonchisquaretestWasusedforstatistical

5、analysisRESULTS：Groupswerecomparableinage，weight，height，weeksofgestation，durationofsurgery，andtypeofanesthesiaBowelfunctionreturned5hoursearlierinthegumchewinggroup(meanl82hours)thaninthecontrolgroup(mean232hours)Passing

6、flatuswas53hoursearlierinGroupG(mean346hours)thaninGroupC(mean399hours)Patientshavingmildileussymptomswas9％lessinGroupO(mean12％)thaninGroupC(mean21％)Thedifferencebetweenthetwogroupswereallhighlysignificant(尸O01)Gumchewin

7、gwaseasilytoleratedwithoutanycomplicationsCONCLUSIONS：Gumchewingisaninexpensive，convenientandphysiologicalmethodinenhancingtherecoveryofbowelfunctionButthismaynotfacilitatewithearlyhospitaldischarge，lactationordefecation