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개복 수술한 부인과 환자에서 수술 후 조기 경구 영양공급의 임상적 유용성

Other Titles
 Clinical efficacy of Early Postoperative Oral Feeding in Gynecologic Patients Undergoing Intra-abdominal Surgery 
Authors
 노종환  ;  김영태  ;  홍순옥  ;  김재욱 
Citation
 Korean Journal of Obstetrics and Gynecology (대한산부인과학회잡지), Vol.43(4) : 688-693, 2000 
Journal Title
Korean Journal of Obstetrics and Gynecology(대한산부인과학회잡지)
ISSN
 0494-4755 
Issue Date
2000
Keywords
Clinical efficacy ; Early oral feeding ; Gynecologic patients ; Safety ; Tolerance
Abstract
OBJECTIVE: This study was performed to evaluate the feasibility, safety, and tolerance of early postoperative oral feeding in gynecologic patients who have underwent intra-abdominal surgery. Thus, we investigated the clinical efficacy of early postoperative oral feeding in gynecologic patients, prospectively. METHODS: From September 1998 to March 1999, we studied 80 gynecologic patients undergoing laparotomy at Department of Obstetrics and Gynecology, Yonsei University College of Medicine, prospectively. After surgery, the patients were grouped into two arms; the first early oral feeding group began a clear liquid diet on the first postoperative day and advanced to regular diet as tolerated. the second control group received nothing by mouth until return of bowel function. RESULTS: Although more patients in the study group developed nausea, the incidence of vomiting and abdominal distension were comparable in both groups. Time to development of bowel sound and flatus were significantly shorter in study group. Postoperative complications including pneumonia, atelectasis, wound complications, and febrile morbidity occurred insignificantly in both group. Postoperative changes in hematologic indices and electrolytes were comparable in both group. CONCLUSION: Early postoperative oral feeding in gynecologic patients undergoing intra-abdominal surgery is safe, well tolerated. We believe that re-evaluation of postoperative surgical care may increase our knowledge and better serve our patients.
Full Text
http://kiss.kstudy.com/thesis/thesis-view.asp?key=1857335
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Young Tae(김영태) ORCID logo https://orcid.org/0000-0002-7347-1052
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172135
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