| 宣蓉,金若晨,吴晗鹏,俞娉.50例2型糖尿病伴肛周脓肿患者临床及微生物特征分析[J].浙江中西医结合杂志,2018,28(6): |
| 50例2型糖尿病伴肛周脓肿患者临床及微生物特征分析 |
| Clinical and microbiological characteristics of 50 cases of type 2 diabetic patients complicated with perianal abscess |
| 投稿时间：2018-01-13 修订日期：2018-02-23 |
| DOI： |
| 中文关键词: 2型糖尿病 肛周脓肿 |
| 英文关键词:type 2 diabetes perianal abscess |
| 基金项目: |
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| 中文摘要: |
| 目的：分析2型糖尿病伴肛周脓肿患者的临床特点及脓液微生物特征，总结诊治经验。方法：选取80例肛周脓肿患者，分为糖尿病组（n=50）和非糖尿病组（n=30），回顾性分析其临床特征、脓液培养结果及治疗方法。结果：糖尿病组住院天数较非糖尿病组明显增加（P<0.05），年龄、性别及白细胞计数无明显差异（P>0.05）。糖尿病组及非糖尿病组脓液细菌培养均以大肠埃希菌为主。根据脓肿情况选择不同手术方式，根据脓液培养的药敏结果及临床经验使用抗生素，糖尿病组患者严格控制血糖，80例患者均治愈。结论：糖尿病组肛周脓肿患者住院时间延长，但脓液培养结果较非糖尿病组无明显差异。 |
| 英文摘要: |
| 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. |
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