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目的:分析慢性阻塞性肺疾病(COPD)合并2型糖尿病(T2DM)患者的临床特点、治疗及预后,提高诊治水平。方法:对2013年10月至2016年1月本院收治的30例COPD合并T2DM患者进行回顾性分析,并与30例单纯COPD患者进行比较。结果 :COPD合并T2DM组动脉血氧分压(PO2)低于单纯COPD组,并发Ⅱ型呼吸衰竭明显;COPD合并T2DM组尿微量白蛋白/肌酐明显高于COPD组;COPD合并T2DM组使用抗生素和糖皮质激素治疗的时间长于单纯COPD组。结论 :COPD、T2DM两病并存时病情重、治疗困难且治疗周期长,因此及早认识两病并存、早期防治是关键。
Objective: To analyze the clinical features, treatment and prognosis of patients with chronic obstructive pulmonary disease (COPD) complicated with type 2 diabetes mellitus (T2DM) and to improve the diagnosis and treatment. Methods: Thirty patients with COPD and T2DM admitted to our hospital from October 2013 to January 2016 were retrospectively analyzed and compared with 30 patients with simple COPD. Results: The arterial partial pressure of oxygen (PO2) in patients with COPD complicated with T2DM was lower than that of patients with COPD alone, with type Ⅱ respiratory failure significantly. Urine microalbumin / creatinine was significantly higher in patients with COPD complicated with T2DM than those in patients with COPD. Patients with COPD and T2DM were treated with antibiotics and Glucocorticoid treatment longer than simple COPD group. Conclusion: Both COPD and T2DM coexist with serious illness, difficult treatment and long treatment period. Therefore, it is necessary to recognize that the two diseases coexist as soon as possible and early prevention and treatment are the key points.