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目的通过对住院2型糖尿病合并社区获得性肺炎(community-acquired pneumonia,CAP)患者的观察,探讨其临床特点、危险因素和治疗策略。方法对102例2型糖尿病合并社区获得性肺炎患者和116例单纯社区获得性肺炎患者的一般指标进行对比分析,并取痰进行细菌性培养。结果 2型糖尿病合并社区获得性肺炎患者组血糖、白细胞计数、C反应蛋白、、血沉、降钙素原均明显高于单纯社区获得性肺炎组。肺部感染致病菌主要以G-杆菌多见。结论 2型糖尿病患者血糖控制不佳易并发肺部感染,在选择抗生素时,首选有效敏感的抗生素是治疗的关键。并改善营养状况,加强患者宣教。
Objective To investigate the clinical characteristics, risk factors and treatment strategies in patients with type 2 diabetes mellitus and community-acquired pneumonia (CAP). Methods A total of 102 patients with type 2 diabetes mellitus complicated with community-acquired pneumonia and 116 patients with simple community-acquired pneumonia were compared and analyzed. The sputum was taken for bacterial culture. Results The blood glucose, white blood cell count, C-reactive protein, erythrocyte sedimentation rate and procalcitonin in patients with type 2 diabetes and community-acquired pneumonia were significantly higher than those in community-acquired pneumonia alone. Pathogenic bacteria of lung infection is more common with G-bacilli. Conclusion Patients with type 2 diabetes have poor control of blood sugar and complicated pulmonary infection. The first choice of effective and sensitive antibiotics is the key to the treatment when choosing antibiotics. Improve nutrition and strengthen patient education.