择期剖宫产术后早期饮水对产妇满意度和胃排空的影响  

Effects of early water intake after elective cesarean delivery on maternal satisfaction and gastric emptying

作　　者：刘晶晶 董苏琳 黄绍强 LIU Jing-jing;DONG Su-lin;HUANG Shao-qiang(Department of Anesthesiology,Obstetrics and Gynaecology Hospital,Fudan University,Shanghai 200090,China)

机构地区：[1]复旦大学附属妇产科医院麻醉科,上海200090

出　　处：《复旦学报（医学版）》2024年第5期691-698,共8页Fudan University Journal of Medical Sciences

摘　　要：目的探讨择期剖宫产术后早期饮水对产妇满意度和胃排空的影响。方法选择2024年1月—3月在复旦大学附属妇产科医院于腰硬联合麻醉下行择期剖宫产术产妇90例,随机分为2组:试验组在术后约10 min饮水100 mL(W组),对照组(C组)仅饮水10 mL。主要结局为产妇对剖宫产术后早期饮水的满意度,次要结局包括产妇口渴程度、饥饿程度、胃排空情况、体温、寒战程度、热舒适度评分、术后首次肛门排气时间及泌乳时间等。结果饮水后120 min,C组和W组的产妇满意度视觉模拟量表(visual analogue scale,VAS)评分分别为(46.7±19.8)mm与(76.8±16.9)mm(P<0.001)。在饮水后30 min、60 min、90 min及120 min,W组的产妇口渴程度数字评分法(numerical rating scale,NRS)评分均低于C组(P<0.01)。在饮水后90 min,W组胃窦横截面积(cross-sectional area,CSA)恢复至基线水平;在进饮后120 min,2组产妇胃窦CSA的差异无统计学意义。在进饮后90 min和120 min,W组的产妇胃窦CSA>10.3 cm2的例数分别为3(6.7%)和2(4.4%),与C组的差异无统计学意义。产妇残余胃容量变化与CSA一致。2组产妇术后血压、心率、体温、寒战程度、热舒适度评分、术后首次肛门排气时间及泌乳时间的差异均无统计学意义。结论在确保产妇完全清醒的情况下,剖宫产术后早期饮水100 mL可增加产妇满意度,并减轻术后口渴感。剖宫产术后早期饮水不会延迟产妇胃排空。Objective To explore the effects of early water intake after elective cesarean delivery on maternal satisfaction and gastric emptying.Methods A total of 90 parturients undergoing elective cesarean delivery under combined spinal-epidural anesthesia between Jan 2024 and Mar 2024,were randomly divided into 2 groups:the W group,who received 100 mL of oral water intake,and the C group,who received 10 mL of water,approximately 10 min after surgery.The primary outcome was maternal satisfaction with early oral intake after cesarean delivery;the secondary outcomes included maternal degree of thirst and hunger,gastric emptying assessed by ultrasonography,body temperature,degree of shivering,thermal comfort score,time to postoperative first flatus,and time to initiation of lactation,and gastric emptying assessed by ultrasonography.Results The VAS scores of maternal satisfaction 120 min after water intake in group C and group W were(46.7±19.8)mm and(76.8±16.9)mm,respectively(P<0.001).At 30,60,90,and 120 min after water intake,the numerical rating scale(NRS)score of maternal thirst in group W was lower than that in group C(P<0.01).At 90 min post-intake,the cross-sectional area(CSA)of gastric antrum in group W had returned to the baseline level.At 120 min after oral intake,there was no significant difference in gastric antrum CSA between the two groups.At 90 min and 120 min after oral intake,the cases of gastric antrum CSA>10.3 cm2 in group W were 3(6.7%)and 2(4.4%),respectively,and there were no significant differences between the two groups.Changes in maternal residual gastric volume were consistent with CSA.There were no significant differences in postoperative blood pressure,heart rate,body temperature,the degree of shivering,thermal comfort score,time to flatus,or time to lactation between the two groups.Conclusion Fully conscious parturients who drank 100 mL of water early after cesarean delivery reported greater satisfaction and experienced reduced thirst.Furthermore,there was no delay in maternal gastric emptying as

关 键 词：剖宫产术 饮水 满意度 胃排空 

分 类 号：R714.7[医药卫生—妇产科学] R614[医药卫生—临床医学]