Ⅰ期根治手术治疗肛周脓肿合并糖尿病的效果分析  

Analysis of the Effect of Radical Operation on Treatment of Perianal Abscess with Diabetes

作　　者：刘峰 LIU Feng(The First People's Hospital of Pingyuan County,Dezhou,Shandong Province,253100 China)

机构地区：[1]平原县第一人民医院,山东德州253100

出　　处：《糖尿病新世界》2020年第23期19-20,23,共3页Diabetes New World Magazine

摘　　要：目的分析Ⅰ期根治手术治疗肛周脓肿合并糖尿病的效果。方法选取2018年1月—2019年12月医院收治的200例肛周脓肿合并糖尿病患者,随机分为两组。两组患者治疗期间均采取积极的控血糖措施,对照组采取I期切开引流治疗+Ⅱ期根治术治疗,观察组则采取Ⅰ期根治手术治疗。比较两组患者的临床疗效和血糖,同时观察两组在平均住院时间、伤口愈合时间以及术后并发症发生率差异。结果观察组与对照组的治疗有效率为98.0%、96.0%,组间差异无统计学意义(χ~2=1.854,P=0.176);观察组与对照组空腹血糖水平为(6.3±0.7)、(6.5±0.8)mmol/L,组间差异无统计学意义(t=1.385,P=0.169);观察组与对照组的平均住院时间为(9.6±2.3)、(14.6±3.2)d,伤口愈合时间为(25.6±4.6)、(36.5±5.4)d,组间差异无统计学意义(t=5.524、5.412,P=0.045、0.044);观察组与对照组术后并发症发生率为3.0%、4.0%,组间差异无统计学意义(χ~2=1.223,P=0.115)。结论Ⅰ期根治手术治疗肛周脓肿合并糖尿病能够有效缩短患者住院时间和伤口愈合时间,避免手术对患者工作和生活的影响。Objective To analyze the effect of radical surgery in the treatment of perianal abscess with diabetes.Methods From January 2018 to December 2019,200 hospitalized patients with perianal abscess and diabetes were selected and randomly divided into two groups.Both groups of patients took active blood glucose control measures during the treatment period.The control group was treated with stage I incision and drainage treatment+stageⅡradical operation,and the observation group was treated with stageⅠradical operation.The clinical efficacy and blood glucose of the two groups of patients were compared,and the differences in the average hospital stay,wound healing time,and postoperative complications were observed.Results The treatment effective rates of the observation group and the control group were 98.0%and 96.0%,and there was no significant difference between the groups(χ2=1.854,P=0.176);the fasting blood glucose levels of the observation group and the control group were(6.3±0.7)mmol/L,(6.5±0.8)mmol/L,the difference between the groups was not statistically significant(t=1.385,P=0.169);the average hospital stay of the observation group and the control group was(9.6±2.3)d,(14.6±3.2)d,and the wound healing time was(25.6±4.6)d,(36.5±5.4)d,there was no statistically significant difference between the groups(t=5.524,5.412,P=0.045,0.044);the postoperative complication rate of observation group and control group was 3.0%,4.0%,there was no statistically significant difference between groups(χ2=1.223,P=0.115).Conclusion The first-stage radical surgery for the treatment of perianal abscess with diabetes can effectively shorten the hospital stay and wound healing time,and avoid the impact of surgery on the work and life of the patient.

关 键 词：期根治手术 肛周脓肿 糖尿病 

分 类 号：R587.1[医药卫生—内分泌]