Effect of chewing gum after cesarean section on the relief time of abdom-inal distension and the recovery of bowel sounds
Objective To explore the effect of chewing gum in women after cesarean section.Methods A total of 60 cases of women with cesarean section admitted to Department of Gynaecology and Obstetrics,Ruijin Maternal and Child Health Care Hospital from January 2020 to December 2021 were selected as the study objects,and were divided into control group(30 cases)and experimental group(30 cases)by using the method of computer generated random number table.The control group and experimental group were respectively treated with routine nursing and routine nursing+chewing gum.The im-provement time of clinical symptoms,hospital stay,complications,nursing satisfaction,degree of abdominal distension,colostrum time,prolactin level 24 h after operation and duration of abdominal distension were compared between the two groups.Results The exhaust time,bowel sound recovery time,defecation time,abdominal distension relief time and hospital stay of the experimental group after nursing were(36.24±3.14),(6.18±1.35),(48.92±5.13),(6.35±1.21)and(5.02± 1.04)days,respectively,which were shorter than(43.96±3.67),(9.38±2.16),(63.04±8.35),(10.57±1.59),(6.98±0.86)days in control group,and the differences were statistically significant(P＜0.05).The incidences of halitosis,dry mouth and abdominal distension in experimental groups were 3.33％,6.67％and 6.67％,respectively,which were lower than 20.00％,26.67％and 30.00％in control group,the differences-were statistically significant(P＜0.05).The total satisfaction rate of nursing in experimental group was 96.67％,higher than 76.67％in control group,and the difference was statistically signifi-cant(P＜0.05).In the experimental group,there were 22 cases of grade 0 bloating,5 cases of grade 1 bloating,2 cases of grade 2 bloating and 1 case of grade 3 bloating were ob-served.In the control group,there were 8 cases of grade 0 bloating,12 cases of grade 1 bloating,6 cases of grade 2 bloating and 4 cases of grade 3 bloating,and the differences be-tween the two groups were statistically significant(P＜0.05).The colostrum time of experimental group was(30.74±11.43)h,which was shorter than(50.21±18.91)h in control group,and the difference was statistically significant(P＜0.05).The lev-el of prolactin in experimental group at 24 h after operation was(237.41±40.02)μ g/L,which was lower than(215.69± 27.32)μ g/L in control group,and the difference was statistically significant(P＜0.05).The duration of abdominal distension in experimental group was(2.21±0.21)h,which was shorter than(3.73±1.32)h in control group,and the difference was statistically significant(P＜0.05).Conclusion The results of chewing gum in pregnant women after cesarean section are good.It can effectively reduce the incidence of complications,improve abdominal distension,improve the time of colostrum,and the prolactin level at 24 h after surgery,and shorten the hospital stay.
万方数据
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