【作者】 曾庆阳；

【导师】 杨向东；

【作者基本信息】 成都中医药大学 ， 中医外科学， 2010， 硕士

【摘要】 目的：本文通过观察成都肛肠专科医院行外剥内扎硬注术的患者,术后首次排便后肛周局部症状、体征及其伤口愈合时间等情况,分析痔术后首次排便时间对伤口的愈合的影响。探索痔术后排便合理的时间。方法：选择成都肛肠专科医院2008年10月～2009年12月行外剥内扎硬注术患者共176例,按首次排便时间的不同分为4组,术后第一天排便的为A组,第二天、第三天分别为B组、C组,四天以后排便的为D组。比较各组之间术前年龄、性别、病程、切口数量,首次排便后疼痛、出血、水肿、坠胀、感染的程度和创面愈合时间。统计学分析使用统计软件SPSS17.0,P<0.05表示差异有统计学意义。结果：通过对176例患者的数据分析,发现不同的首次排便时间,患者便后症状的发生率及程度有所区别。其中：出血率术后第一天排便最高,且出血量较大,常需要止血药帮助止血。手术四天以后排便的患者出血、疼痛、血栓、肛门坠胀等并发症较多。第二天和第三天排便情况、便后症状积分及创面愈合时间优于其余两组,差异具有统计学意义(P<0.05)。结论：术后第二天和第三天是比较合理的排便时间,其排便后患者便血、疼痛、水肿、切口感染等并发症的发生率及程度上较其他时间段低,更有利于切口的愈合。更多还原

【Abstract】 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.更多还原