糖尿病对肛瘘、肛周脓肿治疗效果的影响

目的:探讨糖尿病对肛瘘及肛周脓肿在临床治疗效果的影响。方法:选取2017年12月~2019年2月于某院确诊肛瘘及肛周脓肿的患者144例,对患者进行随机分组,对照组和实验组各72例。对照组患者仅确诊为肛瘘及肛周脓肿,接受临床手术治疗,实验组患者为肛瘘及肛周脓肿合并糖尿病患者,临床接受手术治疗前,需要通过给患者静滴胰岛素或根据患者具体情况选择性口服给降糖药来降低患者血糖水平。结果:对比两组患者手术的总治疗有效率,实验组患者总体的治疗有效率为86.1%(62例),对照组患者总体的治疗有效率为94.4%(68例),对照组患者治疗有效率显著高于实验组,两组患者的组间差异具有统计学意义(P<0.05);对患者进行临床观察,记录患者的纵向创面愈合时间,可以发现实验组患者的纵向创面愈合时间要大于对照组患者(P<0.05)。结论:通过临床的观察分析,与合并糖尿病的肛瘘及肛周脓肿患者相比,单纯的肛瘘及肛周脓肿的患者接受手术治疗的总体有效率更高,同时手术创面的愈合时间更短。

Effect of Diabetes Mellitus on the Treatment of Anal Fistula and Perianal Abscess

Objective:To explore the effect of diabetes on the anal fistula and perianal abscess. Methods:A total of 144 patients with anal fistula and perianal abscess diagnosed in a hospital from December 2017 to February 2019 were selected and randomly assigned. Patients in the control group were only diagnosed with anal fistula and perianal abscess and received clinical surgical treatment. Patients in the experimental group were patients with anal fistula and perianal abscess complicated with diabetes. Before the clinical treatment, patients should be given intravenous insulin or selective oral hypoglycemic drugs according to their specific conditions to reduce their blood glucose level. Results: The overall effective rate of the experimental group was 86.1%(62 cases). The overall effective rate of the control group was 94.4%(68 cases). The effective rate of the control group was significantly higher than that of the experimental group(P<0.05). The longitudinal wound healing time of the experimental group was greater than that of the control group(P<0.05). Conclusion:Through clinical observation and analysis, compared with patients with anal fistula and perianal abscess with diabetes, patients with simple anal fistula and perianal abscess are more effective in surgical treatment, and the healing time of surgical wounds is shorter.