Evaluation of the effect of nutritional support based on the concept of enhanced recovery after surgery in the perioperative management of cesarean section
Jiang Xiaoyang, Wang Chuanxia, Zhu Shanfang, et al
(1.Department of Clinical Nutrition, Lu’an Hospital Affiliated to Anhui Medical University, Anhui, Lu'an 237005, China;2.Department of Obstetrics, Lu’an Hospital Affiliated to Anhui Medical University, Anhui, Lu'an 237005,China; 3.Hefei Women and Children Health Center, Anhui, Hefei 230001, China)
Abstract: 【Abstract】 Objective To explore the feasibility and clinical significance of nutritional support based on the concept of enhanced recovery after surgery (ERAS) in the perioperative management of cesarean section. Method A total of 100 women with elective cesarean section who delivered at full term from March 2021 to February 2022 in Lu'an Hospital Affiliated to Anhui Medical University were included in the study. The parturients were divided into study group (n=50) and control group (n=50) according to the random number method. The study group received nutritional support based on ERAS concept, while the control group received traditional dietary support according to routine caesarean section. Preoperative anxiety and depression, preoperative and postoperative hunger and thirst, postoperative lactation, exhaust time, postpartum 24 h blood loss, postoperative discharge time and postoperative complications were compared between the two groups. The statistical methods performed by t test and χ2 test. Result The incidence of maternal anxiety 1 h before operation in the study group was lower than that in the control group [14.0% (7/50)vs 32.0% (16/50), χ2=4.574, P=0.032]. Maternal hunger score of study group and control group 1 h before operation [(1.72±0.64) vs (4.06±0.89) points, t=15.092, P<0.001], and 3 h after operation [(2.76±1.10) vs (4.02±0.89) points, t=6.297, P<0.001], 3 h preoperative thirst score [(2.50±0.65) vs (4.12±0.85) points,t=10.736, P<0.001], 1 h preoperative thirst score [(2.06±0.71) vs (4.94±0.71) points, t=20.233, P<0.001],3 h postoperative thirst score [(3.48±1.43) vs (4.76±0.80) points, t=5.523, P<0.001], the above data in the studygroup were lower than those in the control group, the differences were statistically significant. The time of first successful lactation in the study group was shorter than that in the control group [(38±12) vs (55±11) h, t=7.494,P<0.001]. There were no significant differences in 24 h postpartum blood loss and postoperative discharge time between the two groups (all P<0.05). The maternal exhaust time in the study group was shorter than that in the control group [(21.8±5.3) vs (25.3±6.1) h, t=3.067, P=0.003]. The incidence of breast distension inthe study group was lower than that in the control group [4.0% (2/50) vs 16.0% (8/50), χ2=4.000, P=0.046]. Conclusion Nutritional support based on ERAS concept can not only promote recovery after cesarean section and reduce surgical complications, but also relieve maternal anxiety and hunger during perioperativeperiod, which has certain clinical benefits.
江晓阳 王传霞 朱善芳 胡鹏飞 邵子瑜 马兴好. 基于加速康复外科理念的营养支持在剖宫产围术期管理中的效果评价[J]. 发育医学电子杂志, 2023, 11(3): 199-204.
Jiang Xiaoyang, Wang Chuanxia, Zhu Shanfang, et al. Evaluation of the effect of nutritional support based on the concept of enhanced recovery after surgery in the perioperative management of cesarean section. Journal of Developmental Medicine(Electronic Version), 2023, 11(3): 199-204.
2023, Vol. 11 
