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目的探讨糖尿病合并肺结核的临床特点和治疗效果。方法选取我院2008年1月至2011年12月76例糖尿病并肺结核患者和76例非糖尿病肺结核患者,依次为研究组和对照组。采取相同的抗结核治疗方案,比较两组患者的临床症状、胸部X线特点,实验室检查结果和治疗效果。结果研究组和对照组相比较发病比较急,症状大多为结核中毒、咯血,病变范围较大,容易出现空洞,痰细菌病变呈现阳性率高,容易迅速恶化。研究组在痊愈率、好转率和痰细菌阴转率方面都比对照组要低(P<0.05),有统计学意义。结论及时准确的控制血糖,实施正确抗结核治疗方法能够增加改善糖尿病并肺结核症状的痊愈几率,改善患者预后工作。
Objective To investigate the clinical features and therapeutic effects of diabetes complicated with pulmonary tuberculosis. Methods 76 cases of diabetic patients with pulmonary tuberculosis and 76 cases of non-diabetic pulmonary tuberculosis from January 2008 to December 2011 were selected as research group and control group. Take the same anti-TB treatment plan, compare the clinical symptoms, chest X-ray characteristics, laboratory test results and treatment effect of two groups of patients. Results Compared with the control group, the study group was relatively acute. Most of the symptoms were tuberculosis poisoning and hemoptysis. The range of the disease range was large, the cavity was easy to appear, and the sputum bacterial lesions showed a high positive rate and easily deteriorated rapidly. The study group in the cure rate, improvement rate and sputum bacterial negative conversion rate than the control group was lower (P <0.05), with statistical significance. Conclusion Timely and accurate control of blood glucose, the implementation of the correct anti-TB treatment can increase the chances of improving the symptoms of diabetes and tuberculosis and improve the prognosis of patients.