How Abdominal Irrigation During Cesarean Delivery Affects Gastrointestinal Functions and Short-term Maternal Morbidities: A Randomized Controlled Study.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Canan Satir Ozel, Zelal Rojda Gungordu, Nisan Helin Donmez, Ergul Demircivi, Oguz Devrim Yardimci, Abdulkadir Turgut
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Abstract

Objective: This study aimed to investigate the effectiveness of intraabdominal irrigation with saline on postoperative gastrointestinal functions and short-term complications in patients who underwent cesarean section under general anesthesia.

Methods: This prospective randomized controlled clinical trial was conducted between March 2022 and May 2022 and included 60 patients who underwent elective cesarean. The participants were randomized into two groups: abdominal irrigation (n=30) and control group (n=30). Participants undergo a standard cesarean procedure, and general anesthesia was preferred. The patients were questioned regarding nausea, vomiting, highest pain scores, time of flatus, and stool passage during the postoperative period.

Results: Although no significant differences were found between the two groups (p>0.05), the return of bowel functions, i.e., passage of flatus and stool, occurred in a shorter period in the irrigation group (19.53 and 34.63 versus 16.73 and 33.7). The postoperative visual analog scale (VAS) scores of the two groups were comparable; VAS score of 4-6 was the sole difference when comparing both groups. Although postoperative vomiting was more common in the control group, no significant difference in postoperative vomiting, postoperative nausea, and postoperative antiemetic need was found between the two groups (p>0.05).

Conclusions: The results revealed that intraoperative abdominal irrigation did not affect gastrointestinal functions and short-term maternal morbidity and did not provide additional benefits.

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剖宫产术中腹腔冲洗如何影响胃肠道功能和产妇的短期发病率?随机对照研究
目的本研究旨在探讨生理盐水腹腔冲洗对全身麻醉下剖宫产患者术后胃肠功能和短期并发症的影响:这项前瞻性随机对照临床试验于 2022 年 3 月至 2022 年 5 月期间进行,共纳入 60 例择期剖宫产患者。参与者被随机分为两组:腹腔冲洗组(30 人)和对照组(30 人)。参与者接受标准剖腹产手术,首选全身麻醉。对患者术后的恶心、呕吐、最高疼痛评分、排气时间和排便情况进行了询问:虽然两组之间没有发现明显差异(P>0.05),但灌肠组恢复排便功能的时间更短(19.53 和 34.63 对 16.73 和 33.7)。两组患者的术后视觉模拟量表(VAS)评分相当;VAS 评分为 4-6 分是两组患者唯一的差异。虽然对照组术后呕吐更常见,但两组在术后呕吐、术后恶心和术后止吐需求方面无明显差异(P>0.05):结果表明,术中腹腔冲洗不会影响胃肠道功能和产妇的短期发病率,也不会带来额外的益处。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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