【摘要】 目的 :研究剖宫产患者术后首次即恢复普通饮食的安全性和临床意义。方法 :以 32 7例剖宫产术后初产妇作为研究对象 ,随机分为术后普通饮食组 16 3例和传统饮食对照组 16 4例 ,比较两组术前、术中的临床情况 (孕周、手术指征、手术情况、术后镇痛 )及术后首次进食接受情况、肠鸣音恢复时间、正常饮食恢复时间、肛门排气时间、泌乳时间及肠梗阻有关症状、术后病率、切口裂开、吸入性肺炎的发生率。结果 :普通饮食组正常饮食恢复时间 ,泌乳时间均较传统饮食组早 (32 7± 6 4h比 6 0 3± 8 7h ;36 7± 8 9h比 6 8 8±10 3h ,P <0 0 1) ,两组首次进食接受情况、肠鸣音恢复时间、肛门排气时间及肠梗阻相关症状、术后病率、切口裂开的发生率差异无显著性 (P >0 0 5 ) ,两组均无吸入性肺炎发生。结论 :剖宫产术后首次即恢复普通饮食安全有效 ,建议剖宫产术后 8h内向患者提供普通饮食。更多还原

【Abstract】 Objective:To evaluate the safety and efficacy of a regular diet as the first meal in patients of cesarean.Method:327 patients were enrolled in a randomized research of a traditional diet compared with a regular diet as the first postoperative meal.Patients’ demographic and surgical distribution were compared in the both groups,patients’ postoperative gastrointestinal outcome and major complications were compared too.Result:The time of regular diet and lactating in the regular group returned earlier than in the traditional group(32.7±6.4h vs 60.3±8.7h;36.7±8.9h vs 68.8±10.3h,P<0.01),the regular and traditional diet groups were similar in the percentage of patients who tolerated their diets on the first attempt,the time to development of bowl and passage of flatus,the symptoms and signs of intestinal obstruction,the rates of postoperative fever and wound breakdown.There were no inspirative pneumonia in either group.Conclusion:Regular diet as the first meal in patients undergoing cesarean section is safe and efficative,a regular diet as the first postoperative meal within 8 hours of surgery is provided.更多还原