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目的探讨糖尿病合并肺结核的临床特征及疗效。方法对65例糖尿病合并肺结核患者的发病情况、治疗方法及转归进行回顾性分析。结果65例患者中血糖控制理想55例,肺结核病灶吸收好转51例,空洞缩小或闭合者8例,痰菌3个月转阴40例。血糖控制不良10例,10例中肺结核吸收好转1例,无变化5例,病灶进展2例,死亡2例,均为完成抗结核疗程但降糖治疗不规范的血糖控制不良者。结论糖尿病合并肺结核时较好地控制血糖,抗结核治疗规范化,能提高肺结核的治愈率。
Objective To investigate the clinical features and therapeutic effects of diabetes complicated with pulmonary tuberculosis. Methods The incidence, treatment and outcome of 65 patients with diabetes mellitus combined with pulmonary tuberculosis were retrospectively analyzed. Results Among the 65 patients, there were 55 cases with ideal glycemic control, 51 cases with pulmonary tuberculosis absorption improvement, 8 cases with voids shrinking or closing, and 3 cases with sputum bacterium being negative in 40 cases. 10 cases of poor glycemic control, 10 cases of tuberculosis absorption improved in 1 case, no change in 5 cases, lesions in 2 cases, 2 cases of death, are to complete the anti-TB treatment but hypoglycemic treatment of non-standard glycemic control poor. Conclusions Diabetes with tuberculosis can control blood sugar better, standardization of antituberculosis treatment can improve the cure rate of tuberculosis.