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目的观察肛周脓肿合并糖尿病患者采用中药辨证分型论治联合西医治疗的临床效果。方法选取该院2013年1月-2014年12月收治的肛周脓肿合并糖尿病患者100例,所有患者均采用手术治疗,术前予控制血糖,术后给予胰岛素及降糖药治疗等。在此基础上术后另给予中药辩证分型论治。治疗后观察患者的临床疗效、渗液消失时间及创面愈合时间。结果 100例患者均痊愈出院。住院期间患者血糖控制稳定,临床多饮、多食、多尿、体质量减轻症状均有所缓解,未出现低血糖事件,渗液消失时间(10.24±2.12)d,创面愈合时间(20.45±5.42)d,术后随访半年无复发者。结论中药辨证分型论治联合西医治疗肛周脓肿合并糖尿病效果较好,可显著缩短渗液消失时间及创面愈合时间,值得临床推广应用。
Objective To observe the clinical effect of treating patients with perianal abscess with diabetes by TCM syndrome differentiation and western medicine treatment. Methods One hundred patients with perianal abscess and diabetes admitted to our hospital from January 2013 to December 2014 were enrolled in this study. All patients underwent surgery, preoperative control of blood glucose, postoperative insulin and hypoglycemic agents. On this basis, the other traditional Chinese medicine was given a dialectical treatment. After treatment, the clinical efficacy, extinction time and wound healing time were observed. Results 100 patients were cured and discharged. During the period of hospitalization, the blood glucose control was stable. The clinical symptoms such as polydipsia, polyphagia and polyuria were relieved. There were no hypoglycemic events, disappearance of exudate (10.24 ± 2.12) days and wound healing time (20.45 ± 5.42) ) d, no recurrence after six months of follow-up. Conclusion TCM syndrome differentiation and western medicine treatment of perianal abscess with diabetes better, can significantly reduce the exudate disappear time and wound healing time, worthy of clinical application.