糖尿病患者肛周脓肿芒硝纱条外用治疗疗效分析

Clinical Effect of Glauber Salt Gauze on Perianal Abscess in Patients with Diabetes

目的探讨糖尿病患者肛周脓肿芒硝纱条外用治疗疗效。方法选择宣城中心医院收入的肛周脓肿合并糖尿病患者共42例,患者根据治疗方式不同分为观察组及对照组,每组21例,观察组术后给予芒硝纱条外用,对照组给予高渗盐水,对比两组患者疼痛积分、水肿积分、临床疗效及并发症情况。结果两组患者均接受治疗,其中观察组住院(15.5±2.4)d,对照组住院(19.6±2.8)d,观察组患者住院时间显著低于对照组,P<0.05。观察组术后2,7,14 d的疼痛、水肿积分均低于对照组,结果对比差异有统计学意义,P<0.05。临床疗效对比中显示,观察组有效率为95.2%,显著高于对照组的76.2%,结果对比有统计学意义,P<0.05。观察组并发症发生率为14.3%,对照组为42.8%,对照组术后并发症显著高于观察组,结果对比差别有统计学意义,P<0.05。结论手术结合芒硝治疗肛周脓肿并糖尿病疗效满意,可以缩短住院时间,术后疼痛小、水肿轻,而且安全可靠,值得临床推广。

Objective To investigate the therapeutic efficacy of glauber salt gauze on perianal abscess in patients with diabe- tes. Methods Total 42 cases of perianal abscess with diabetes were selected in our hospital,patients were divided into observa- tion group and control group, each group of 21 cases, observation group treat with glauber salt gauze, the control group with high permeability brine, the pain integral, edema integral, clinical efficacy and complications were compared between the two groups. Results The hospitalization time was（ 15.5 ± 2.4） days in the observation group and（ 19.6 ± 2.8 ） days in the control group, the difference was significant（ P 〈 0.05 ）. The scoring for pain and edema of patients on day 2,7 and 14 was lower in the observa- tion group as comparedto the control group,the difference was significant（ P 〈 O. 05 ）. The clinical curative rate was 95.2% in the observation group and （76.2%） in the control group（ P 〈 0.05 ）. The incidence of complications was 14.3% in the observa- tion group and 42.8 % in the control group, the difference was significant （ P 〈 0.05 ）. Conclusion The clinical effect of surgical combine with glauber salt gauze in treatment of perianal abscess in patients with diabetes is safe, reliable and satisfactory. With less postoperative pain, edema, it can shorten the hospitalization time, should be widely promoted.