首页|剖宫产术后口服二甲硅油促进产妇胃肠道功能恢复的疗效观察

剖宫产术后口服二甲硅油促进产妇胃肠道功能恢复的疗效观察

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目的:探讨剖宫产术后口服二甲硅油对产妇胃肠道功能恢复的影响.方法:选取2022年1月—2023年12月本院行剖宫产术分娩的产妇150例,随机分为二甲硅油组和常规组各75例,均给予术后常规处理,二甲硅油组术后给予二甲硅油片治疗,直至排便后停止.观察比较两组产妇术后胃肠功能恢复情况、泌乳、并发症以及满意度.结果:二甲硅油组剖宫产后首次排便时间(62.53±5.72h)、肛门排气时间(27.46±3.82h)、肠鸣音恢复时间(19.58±2.93h)以及首次泌乳时间(30.52±6.91h)均早于常规组(69.84±6.36h、33.01±4.45h、21.39±3.17h、34.39±7.24h),产妇术后腹痛、腹胀、恶心/呕吐等胃肠并发症总发生率(5.3%)低于常规组(17.3%),对剖宫产术后满意率(89.3%)高于常规组(74.7%),术后住院时间(4.62±0.87 d)少于常规组(5.38±1.14 d)(均P<0.05).结论:剖宫产术后口服二甲硅油可加速产妇术后胃肠道功能恢复,缩短首次泌乳时间以及住院时间,降低术后腹胀和腹痛等并发症风险,提升了医疗服务满意度.
Observation on the therapeutic effect of oral administration of simethicone for promoting the recovery of gastrointestinal function of parturients after cesarean section
Objective:To explore the effects of oral administration of simethicone of parturients after cesarean section on the recovery of their gastrointestinal function.Methods:A total of 150 parturients who had undergone cesarean sec-tion in hospital were selected and were randomly divided into study and control groups(75 cases in each group)be-tween January 2022 and December 2023.The parturients in both groups were treated with postoperative routine treat-ment,while the parturients in the study group were given oral administration of simethicone emulsion after surgery un-til their defecation stopped additionally.The postoperative recovery of gastrointestinal function,the lactation situation,the complications rate,and the maternal satisfaction of the parturients were observed and compared between the two groups.Results:The first defecation time(62.53±5.72 d),the anal exhaust time(27.46±3.82 d),the bowel sounds recovery time(19.58±2.93 d)and the first lactation time(30.52±6.91 h)of the parturients in the study group after cesarean section were significantly earlier than those(69.84±6.36 d,33.01±4.45 d,21.39±3.17d and 34.39±7.24 h)of the parturients in the control group.The total rate(5.3%)of the complications,such as abdominal pain,abdominal distension and nausea/vomiting,of the parturients in the study group after cesarean section was significantly lower than that(17.3%)of the parturients in the control group.The satisfaction(89.3%)of the parturients in the study group after cesarean section was significantly higher than that(74.7%)of the parturients in the control group,and the postoperative hospital stay(4.62±0.87 d)of the parturients in the study group was significantly shorter than that(5.38±1.14 d)of the parturients in the control group(all P<0.05).Conclusion:The oral administration of simethicone emulsion of the parturients after cesarean section can promote their recovery of postoperative gastrointesti-nal function,shorten their lactation and hospitalization time,and reduce the risk of their postoperative complications,such as bloating and abdominal pain,and which can improve the postoperative satisfaction for the clinical service of the parturients.

Cesarean sectionGastrointestinal functionSimethiconeAbdominal distensionTherapeutic effect

朱晓英、杨凡、李爽

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四川省宜宾市第一人民医院(644000)

剖宫产 胃肠道功能 二甲硅油 腹胀 疗效

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(9)