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Dr. 琼斯: 术后在医院吃果冻? 给我来一杯双份浓缩果冻. 这是博士. 外裙琼斯 from Obstetrics and Gynecology at University of Utah Health and we're talking about coffee in the hospital on 范围.
播音员: Covering all aspects of women's health. This is the "The Seven Domains of Women's Health" with Dr. 外裙琼斯在Scope上报道.
Dr. 琼斯: It turns out that our coffee shop in the hospital is the busiest coffee shop in Utah. It is open 24/7, 365 just like the hospital. 顾客是疲惫的居民, 早起的主治医生, 护士, 工作人员, 游客, 病人, 还有几个穿着病号服, 推他们的静脉滴极. 好吧, we've talked about how coffee in moderate doses isn't bad for you if you're a grown-up, but what about if you're in the hospital?
几年前, I read an article in "The New England Journal of Medicine" about research that demonstrated that coffee drinkers who are given caffeine in the first morning after surgery had fewer headaches, 更好的态度, 更快地恢复肠道运动, 让你的内脏动起来. This was in the days when we didn't feed women who'd undergone abdominal surgery for problems such as a hysterectomy for several days. Only ice chips until our ladies passed gas.
好吧, that could take a couple of days and post-op headache was a common complaint that we treated with Tylenol or narcotics. We never asked if the patient routinely had morning coffee or several diet Cokes each day, and we never thought that our 病人 might be undergoing caffeine withdrawal. We know that women and men undergoing surgery usually fast from the night before, 第二天做手术吗, and then they may be 48 hours from their last caffeine hit when they wake up in the morning after surgery, primetime for a caffeine withdrawal headache.
One study showed that people who are caffeine consumers had less headache if they drank coffee the day of surgery or the morning after. Another recent randomized trial looked at 病人 after bowel surgery and found that 病人 who were given coffee the day after surgery were more likely to have their bowels move and go home a day earlier than people given water.
最后, 2017年2月, in "The American Journal of Obstetrics and Gynecology,这就是为什么我要谈论这个, 女医生, a study was reported about post-op coffee. A randomized study of coffee versus water in women who were having a hysterectomy and lymph node dissection for gynecologic cancer. They were randomized to coffee or water, and ladies who were given coffee had their bowels move faster, 他们提前一天耐受食物, 他们提前一天回家了.
This study was interesting in that only 23% of the 病人 were coffee drinkers before the surgery. So the effect was found in coffee drinkers and women who weren't used to coffee. 不幸的是, they didn't measure the willingness to get up and go after surgery or measure the grumpiness factor in women getting caffeine or water, but that would have been a great study.
当然, women who are older with heart disease or women with heart rhythm problems may not want to have coffee if they aren't used to it. And some 病人 don't like the effect of caffeine. 然而, we should at least ask our 病人 and our 病人 should tell their doctors if they're regular consumers of caffeine and find out if their team will add coffee or their caffeine beverage of choice when they're post-op in the hospital.
当然, we wouldn't recommend caffeine in the later afternoon or evening or our 病人 would even get less sleep than they will with us keeping them up all night long getting vital signs. So we want our 病人 to be happy, headache-free, and bowels moving with a good attitude. 还有那些浓咖啡果冻, I think they could be the next big thing on the clear liquid menu in the hospital.
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