剖宫产术后早进食对产妇肠道功能恢复的影响及预防便秘的效果  

Effect of Early Eating after Cesarean Section on Intestinal Function Recovery and Prevention of Constipation in Parturients

作　　者：范俊丽[1] FAN Jun-li(The Second Peoples Hospital of Nanyang City,Nanyang,Henan 473000)

机构地区：[1]河南省南阳市第二人民医院

出　　处：《中国肛肠病杂志》2019年第11期75-76,共2页Chinese Journal of Coloproctology

摘　　要：为探讨剖宫产术后早进食对产妇肠道功能恢复的影响及预防便秘的效果,选取2018年7~12月于我院接受剖宫产的124名孕妇作为研究对象,随机分为观察组和对照组,各62名。对照组孕妇产后禁食禁饮6h,6h后开始少量饮水,排气后渐进式恢复饮食;观察组产后禁食禁饮2h,2h后每30min饮水1次,连续3次,每次饮水量递增(5mL→10mL→20mL),若无不适,开始进食米汤,渐进式恢复饮食。比较2组产妇术后肛门排气时间、排便时间、下床活动时间、饥饿感和便秘发生率,以及住院时间和患者满意度。结果显示,观察组产妇术后首次排气时间、排便时间、下床活动时间、住院时间均明显短于对照组,术后饥饿感、便秘发生率均明显低于对照组,患者满意度明显高于对照组,P<0.05。结果表明,剖宫产术后早进食可促进产妇肠道功能恢复,降低便秘发生率,提高护理满意度。In order to investigate the effect of early eating after cesarean section on the recovery of intestinal function and the efficacy of preventing constipation,124 pregnant women who underwent cesarean section in author’s hospital from July to December 2018 were randomly divided into observation group(n=62)and control group(n=62).The control group began to drink a small amount of water 6 hafter fasting and drinking,and gradually resumed diet after exhaust.In the observation group,fasting and drinking for 2 hours,drinking water once every 30 min after 2 hours,three times in a row,each time of drinking water increased(5 mL→10 mL→20 mL),if there was no discomfort,began to eat rice soup,gradually resumed diet.The postoperative anal flatus time,defecation time,time of getting out of bed,the incidence of hunger and constipation,as well as hospitalization time and patient satisfaction degree were compared between the two groups.As results,the first flatus time,defecation time,time of getting out of bed and hospitalization time of the observation group were significantly shorter than those of the control group,the incidence of hunger and constipation after operation were significantly lower than those of the control group,and the satisfaction degree of the patients was significantly higher than that of the control group(P<0.05).The results show that early eating after cesarean section can promote the recovery of intestinal function,reduce the incidence of constipation and improve nursing satisfaction degree.

关 键 词：剖宫产 早进食 肠道功能 便秘 效果 

分 类 号：R473.71[医药卫生—护理学]