Clinical Observation Of Postoperative Enteral Nutrition Control Defecation On Postoperative Pain Of PPH

ObjectiveObservation of enteral nutrition control defecation effect on postoperative pain in patients with PPHMethodsSelection of the first affiliated hospital of guangzhou university of traditional Chinese medicine anorectal surgery in October 2015 to February 2016,60 cases of standard Ⅱ, Ⅲ, Ⅳ degree hemorrhoids and PPH surgery postoperative patients., Accordingto the numberof random group of patients admitted to the order, on the 10th line from the listof random numbers get60 random numbers in a row, according to an even number in the treatment group, oddnumbered into the Control group. The dietof the control group to half flow, resistance to infection, relaxingbowels, swelling, treatment of traditional Chinese medicine fumigating and washing, infrared treatment, Change the bandage after defecate. Patients discharged from hospital in the case study to complete. Treatment group on the first day after surgery and postoperative computing based energy consumption (BEE) in patients with enteral nutrition powder flow diet. Other are the same as the treatment group. Primary outcomes of the study are:postoperative pain on the first day, for the first time during defecation pain and to discharge after the first bowel pain, postoperative bowel movement for the first time.ResultsTreatment of 25 cases with men, women with 5 cases,19 cases of men in the control group,11 cases of women; Treatment group and 18 young people, 7 middle,5 elderly patients,16 cases of young people in the control group, 8 cases of middle-aged,6 older; Treatment groups Ⅱ, Ⅲ, Ⅳ degree internal hemorrhoids patient is 11,14,5, control group Ⅱ, Ⅲ, Ⅳ degree internal hemorrhoids patients 5,19 and 6, respectively。By the X2 test of two groups of patients in gender, age, hemorrhoid dividing P>0.05, no statistical significance, comparable. After first days of pain score by t test, in accordance with the standard of a= 0.05, P>0.05, no statistical significance.The first defecation pain score after t test, according to the standard of a= 0.05, P< 0.05, there was statistical significance. First to discharge after bowel movement after surgery pain scores by the t test, according to the standard of a= 0.05, p 0.05, no significant. The first defecation time, through the t test, according to a= 0.05, P< 0.05, the two groups was statistically significant in postoperative defecation time.ConclusionIn accordance with the basic amount of daily basis, the whole intestinal absorption of non residue enteral nutrition powder (An Su), can be delayed for the first time after the operation and ease the pain after defecation.