目前,我国糖尿病发病率的不断增多,由此引发肛周感染的不断增多,该病往往起病急、进展快,但是有些糖尿病患者由于长期高血糖状态利于细菌的生长,而机体的免疫功能又在逐渐的下降,反应低下,患者往往表现比较轻,发病后缺乏典型的症状和体征,即使病情加重,表现出来的也是相邻部位的症状,如起初的红肿热痛较轻微等,而肛周脓肿的临床表现无论是全身还是局部在发病初期都不明显,一般在患者就诊时多感染较为严重,治疗难度较大,甚至有些患者以“肛周脓肿”收治后理化检查时才发现的血糖、尿糖均增高。肛周脓肿的治疗,切开引流是最有效的办法,多属于急诊,但是合并糖尿病的患者往往会因为麻醉、手术和心理的过于紧张及对疼痛的恐惧等因素造成体内的糖皮质激素、肾上腺素等分泌增多,血糖升高,甚至部分患者可以诱发酮症酸中毒而危及生命,并且增加伤口的感染几率,久不愈合。 At present, the incidence of diabetes mellitus in China is constantly increasing, which leads to an increasing number of perianal infections. The disease often starts with acute onset and progresses rapidly. However, some patients with diabetes benefit the growth of bacteria due to long-term hyperglycemia, and the immune function of the body In the gradual decline, the reaction is low, patients tend to be relatively light, the lack of typical symptoms and signs after the onset, even if the disease exacerbations, the performance is also adjacent to the symptoms, such as the initial mild pain and other swelling and pain, and perianal The clinical manifestations of abscess, either systemic or local early in the onset are not obvious, the general treatment of patients with more serious infections, the treatment is more difficult, and even some patients with “perianal abscess ” after the physical and chemical examination was found Blood sugar, urine sugar are increased. Perianal abscess treatment, incision and drainage is the most effective way, mostly belonging to the emergency department, but patients with diabetes are often due to anesthesia, surgery and psychological stress and fear of pain and other factors caused by the body of glucocorticoid, adrenal Increased hormone secretion, elevated blood sugar, and even some patients can induce ketoacidosis and life-threatening, and increase the risk of wound infection, long time no healing.