50例2型糖尿病伴肛周脓肿患者临床及微生物特征分析

正糖尿病(diabetes mellitus,DM)是一种以慢性糖代谢异常为主要特征的临床综合征,其中2型糖尿病(type 2 diabetes mellitus,T2DM)占90%以上[1]。糖尿病与心脑血管疾病、外周血管疾病关系密切。虽然糖尿病被认为是非炎症性疾病,但异常的能量代谢可导致糖尿病及糖尿病前期患者的淋巴单核细胞系统和免疫系统功能紊乱。由于糖尿病患者肠道内细菌含量较高、血浆渗透压增高以及吞噬细胞杀菌功

Clinical and microbiological characteristics of 50 cases of type 2 diabetic patients complicated with perianal abscess

Objective: To analyze the clinical features and characteristics of pus micro-organisms in type 2 diabetic patients with perianal abscess,summarize the experience of diagnosis and treatment. Methods: Eighty patients with perianal abscess were divided into diabetic group (n = 50) and non-diabetic group (n = 30). The clinical features, pus culture results and treatment methods were retrospectively analyzed. Results: The days of hospitalization in diabetic group were significantly higher than in non-diabetic group (P <0.05). There was no significant difference in age, sex and leukocyte count (P> 0.05). The bacterial culture of pus in diabetic group and non-diabetic group mainly consisted of Escherichia coli. Choose different surgical methods according to the abscess situation, choose proper antibiotics according to the drug susceptibility results of pus culture and clinical experience, Control the blood glucose strictly in the patients with diabetes, 80 patients were cured. CONCLUSIONS: The days of hospitalization in diabetic group were significantly rolonged, but no significant difference in pus culture compared with non-diabetic group.