一个随机对照试验的保拉方法对比口香糖对于剖腹产后胃肠道的重新激活剖腹产
Nadezda Koryakina1, Amy Solnica1, Michal Liebergall Wischnitzer1
1Henrietta Szold Hadassah University Medical Center School of Nursing, Faculty of Medicine, Hebrew University of Jerusalem Kalman Ya'Akov Man Street, Jerusalem 9112000, Israel.
Journal of clinical medicine
|February 13, 2026
概括
剖腹产后的康复可以通过诸如口香糖或保拉法练习等干预措施来改善. 虽然这两种方法都没有显示出整体胃肠道 (GI) 恢复时间的显著差异,但口香糖可以提供更快的初始结果.
科学领域:
- 产科和妇科 产科和妇科
- 术后恢复 术后恢复
- 胃肠道健康 胃肠道健康
背景情况:
- 女性经历胃肠道 (GI) 在剖腹产 (CD) 后的不适,标准护理往往不够.
- 护士管理CD后的症状,并促进胃肠道活动,以预防诸如阴茎等并发症.
- 现有证据表明,口香糖和保罗法练习可以帮助恢复与标准护理相比.
研究的目的:
- 为了比较保拉法运动与口香糖在加速胃肠道 (GI) 在选择性剖腹产 (CD) 后恢复的有效性.
- 评估在接受选择性CD的女性中,作为首要结果,首次浮气和首次排便的时间.
主要方法:
- 一项随机对照试验,涉及90名接受选择性剖腹产 (CD) 的女性.
- 参与者被随机分为两个组:保拉方法练习 (n=44) 或口香糖 (n=46),两者都接受标准护理.
- 主要结局指标包括时间到第一次穿的时间和时间到分娩后第一次排便的时间.
主要成果:
- 在Paula方法和口香糖群体之间,在第一次浮或第一次排便之前没有观察到统计学上显著的差异.
- 与口香糖小组 (27.9小时) 相比,保拉方法小组的平均时间比第一次浮 (19.7小时) 短了8.2小时.
- 探索性分析表明,口香糖导致在剖腹产后的最初16小时内,第一次腹的时间更短.
结论:
- 虽然口香糖是手术恢复的推指南,但它可能不适合所有患者.
- 保拉法似乎是安全的,有希望提高剖腹产后的恢复,但需要进一步调查.
- 需要进行更大规模,充足的试验来验证研究结果,并为这两种干预措施确定最终结论.
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