The Clinical Researchment Of Relationship Between First Defecation Time For Patients With Hemorrhoid After Operation And Incision Healing

Objective:to analysis the influence of first defecation time for patients with hemorrhoid after operation on incision healing and explore reasonable time of defecation according to the observation on anal symptoms and syndromes after first defecation and healing time for patients with External Excision and Internal Ligation.Methods:176 patients with External Excision and Internal Ligation were choosen in ChengDu Proctology hospital during 2008.10-2009.12.They were divided into 4 groups according to first defecation time.Patients,whose first defecation time is in the first day after operation were A group(the second day were B group).Then age,sex, illness course,number of incision and the degrees of pain,bleeding,edema, the sense of fall-swell and infection were compared between pre-post operative periods separately. SPSS17.0 was used, P<0.05stands for statistical difference.Results:the first defecation time,the incidence and degree of symptoms after defecation were different among groups:the rate of hemorrage was highest and bleeding volume was bigger in A group which need Hemostatic Drug usually.The degrees of bleeding, pain, thrombus, the sense of fall-swell of patients in D group were higher.Those patients whose clinical situation in B ans C group were better than the other two groups (P<0.05).Conclusion::the first defecation time which is the second and third day after operation is resonable. The incidence and degrees of bleeding,pain,edema,infection after defecation were lower than those patients whose first defecation time weren't the second arid third day after operation.And the second and third day after operation are beneficial to healing.