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目的:探讨肺结核合并糖尿病患者的临床特点及治疗效果。方法:选取我院收治的肺结核合并糖尿病患者98例,将其作为观察组;另选取同期接受治疗的单纯性肺结核患者80例作为对照组。两组患者实施统一的抗结核治疗方案(观察组加用降血糖治疗方案),观察两组患者的临床症状特点,以及治疗效果。结果:观察组患者咯血、感染、形成空洞、痰菌阳性发生率明显高于对照组,治疗后病灶吸收、空洞闭合、痰菌转阴率低于对照组,差异具有统计学意义(P<0.05)。98例观察组患者中,血糖控制良好41.8%,一般31.6%,较差26.5%。结论:对于肺结核合并糖尿病患者而言,具有独特的临床特征,且抗结核的治疗效果依赖于对血糖的控制。因此及时诊断和治疗,降低血糖值,有利于控制结核的发展。
Objective: To investigate the clinical features and therapeutic effect of pulmonary tuberculosis complicated with diabetes. Methods: A total of 98 patients with tuberculosis and diabetes mellitus admitted to our hospital were selected as the observation group. Another 80 patients with simple tuberculosis who were treated at the same period were selected as the control group. Two groups of patients to implement a unified anti-TB treatment program (observation group plus hypoglycemic treatment program), two groups of patients to observe the clinical features, and treatment. Results: The incidence of hemoptysis, infection and vacuolization in the observation group was significantly higher than that in the control group. After treatment, the lesions were absorbed, the cavity was closed and the negative rate of sputum was lower than that of the control group (P <0.05 ). 98 cases of observation group patients, blood sugar control of 41.8% good, generally 31.6%, poor 26.5%. Conclusion: It has unique clinical characteristics for patients with pulmonary tuberculosis complicated with diabetes and the therapeutic effect of anti-tuberculosis depends on the control of blood glucose. Therefore, timely diagnosis and treatment, lower blood glucose, help control the development of tuberculosis.