The Effects of Gum Chewing on Bowel Function Recovery Following Cesarean Section: Randomized Controlled Trial
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Postoperative interval until the first flatus
研究概览
简要总结
Following all abdominal surgery, paralytic ileus commonly develops. Surgeons have traditionally withheld postoperative oral intake until the return of bowel function to prevent related complications. Gum chewing can stimulates bowel movement and promotes the return of bowel function through the cephalic-vagal reflex and increased intestinal enzymes secretion.
The objectives of this study are to examine effects of adding gum chewing to the conventional postoperative feeding regimen on the return of bowel function, its related complications, and patients' satisfaction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 15 Years 至 50 Years（Child, Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Pregnant women undergoing cesarean delivery
排除标准
- •Perioperative hyperalimentation
- •Recent chemotherapy
- •Concurrent bowel surgery
- •Previous bowel surgery
- •Concurrent bowel obstruction
- •History of inflammatory bowel diseases
- •Previous abdominal/pelvic radiation
- •Postoperative placement of endotracheal tube/nasogastric tube
- •Postoperative admission to intensive care unit
研究组 & 干预措施
Gum chewing
Gum chewing (30 minutes in duration each time, 4 times/days at the usual time of meal, until the first flatus) in addition to conventional postoperative feeding schedule
干预措施: Gum chewing (Behavioral)
Conventional
Conventional postoperative feeding schedule
结局指标
主要结局
Postoperative interval until the first flatus
时间窗: Up to 7 days after delivery
次要结局
- Postoperative hospital stay(Up to 7 days after delivery)
- Related complications(Up to 7 days after delivery)
- Patients' satisfaction(Up to 7 days after delivery)
- Postoperative interval until the first passage of stool(Up to 7 days after delivery)
- Clinically significant postoperative ileus(Up to 7 days after delivery)