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目的:针对肺结核合并糖尿病患者,探讨采用中西医结合治疗后的临床效果。方法:选取肺结核合并糖尿病患者90例,通过抽签法将所有患者平均分成B1组(观察组45例)与B2组(对照组45例)。B2组:采用西医常规降血糖加抗结核治疗;B1组:在B2组治疗方法基础上采用中医辨证方法进行治疗。B1组、B2组患者完成治疗后,对比糖尿病的控制情况、患者痰菌转阴情况以及病灶吸收情况。结果:在糖尿病的控制方面,B1组患者的治疗效果明显高于B2组患者(P<0.05)。对比B1组、B2组患者的痰菌转阴率,差异具有统计学意义(P<0.05)。结论:针对肺结核伴有糖尿病的患者,除了采用西医常规方法治疗之外,选择中医辨证方法进行治疗,最终获得满意的临床治疗效果,值得临床推广应用。
Objective: To investigate the clinical effect of combined treatment of traditional Chinese and Western medicine for tuberculosis patients with diabetes mellitus. Methods: Ninety patients with pulmonary tuberculosis and diabetes mellitus were selected. All patients were divided into B1 group (45 cases in observation group) and B2 group (45 cases in control group). Group B2: Western medicine to reduce blood sugar plus anti-TB treatment; B1 group: B2 group based on the treatment of traditional Chinese medicine syndrome differentiation method for treatment. B1 group, B2 group after completion of treatment, compared with the control of diabetes, sputum negative patients and the absorption of lesions. Results: In the control of diabetes, the treatment effect of group B1 was significantly higher than that of group B2 (P <0.05). Compared with B1 group and B2 group, the difference of sputum negative rate was statistically significant (P <0.05). Conclusion: For patients with pulmonary tuberculosis accompanied by diabetes, in addition to Western conventional treatment, the choice of traditional Chinese medicine syndrome differentiation method for treatment, and ultimately obtain satisfactory clinical treatment, worthy of clinical application.