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目的探讨涂阳肺结核合并Ⅱ型糖尿病的临床特点及治疗方法。方法对我站收治的56例涂阳肺结核合并Ⅱ型糖尿病患者的临床特点及治疗效果进行分析。结果本组56例患者以咳嗽、咳痰为主要表现,发热、盗汗等结核中毒症状不明显;血糖控制满意者肺结核病灶吸收好转48例(85.7)。结论血糖控制程度明显影响肺结核治疗的预后,积极抗痨及合理控制血糖是治疗涂阳肺结核合并Ⅱ型糖尿病的关键。
Objective To investigate the clinical features and treatment of smear-positive pulmonary tuberculosis complicated with type Ⅱ diabetes mellitus. Methods The clinical features and therapeutic effects of 56 cases of smear positive pulmonary tuberculosis with type Ⅱ diabetes who were treated in our station were analyzed. Results The group of 56 patients with cough, sputum as the main performance, fever, night sweats and other symptoms of tuberculosis was not obvious; good control of blood glucose in patients with tuberculosis improved absorption in 48 cases (85.7). Conclusion The degree of glycemic control significantly affects the prognosis of tuberculosis treatment. Active anti-tuberculosis and rational control of blood glucose are the key to the treatment of smear-positive pulmonary tuberculosis with type Ⅱ diabetes.