中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2013年
22期
31-32
,共2页
糖尿病%肺结核%真菌感染
糖尿病%肺結覈%真菌感染
당뇨병%폐결핵%진균감염
Diabetes%Tuberculosis%Fungal infection
目的：探讨肺结核并糖尿病合并真菌感染的临床特点，为临床治疗提供依据。方法：对深圳市某人民医院肺结核并糖尿病合并真菌感染120例患者的临床资料进行回顾性分析。结果：肺结核并糖尿病肺部真菌感染的病原茵以白色念珠菌为主84例(70.0%)，其他真菌感染36例(30.0%)，其中复发肺结核、首发肺结核、重症肺结核、轻症肺结核、血糖控制理想和血糖控制不理想感染白色念珠菌分别为：75.6%(72例)，46.2%(12例)，76.4%(84例)，0，57.1%(48例)和100.0%(36例)；复治肺结核与首发肺结核、重症肺结核患者与轻症肺结核，血糖控制不理想与血糖控制理想比较，均感染白色念珠菌更加严重，比较差异均有统计学意义(P<0.01)。结论：肺部真菌感染的病原茵以白色念珠菌为主，复治肺结核及重症肺结核患者多见；血糖控制程度明显影响肺结核病合并真菌感染患者病灶的愈合，肺结核病并合糖尿病合并真菌感染患者两者相辅相成。
目的：探討肺結覈併糖尿病閤併真菌感染的臨床特點，為臨床治療提供依據。方法：對深圳市某人民醫院肺結覈併糖尿病閤併真菌感染120例患者的臨床資料進行迴顧性分析。結果：肺結覈併糖尿病肺部真菌感染的病原茵以白色唸珠菌為主84例(70.0%)，其他真菌感染36例(30.0%)，其中複髮肺結覈、首髮肺結覈、重癥肺結覈、輕癥肺結覈、血糖控製理想和血糖控製不理想感染白色唸珠菌分彆為：75.6%(72例)，46.2%(12例)，76.4%(84例)，0，57.1%(48例)和100.0%(36例)；複治肺結覈與首髮肺結覈、重癥肺結覈患者與輕癥肺結覈，血糖控製不理想與血糖控製理想比較，均感染白色唸珠菌更加嚴重，比較差異均有統計學意義(P<0.01)。結論：肺部真菌感染的病原茵以白色唸珠菌為主，複治肺結覈及重癥肺結覈患者多見；血糖控製程度明顯影響肺結覈病閤併真菌感染患者病竈的愈閤，肺結覈病併閤糖尿病閤併真菌感染患者兩者相輔相成。
목적：탐토폐결핵병당뇨병합병진균감염적림상특점，위림상치료제공의거。방법：대심수시모인민의원폐결핵병당뇨병합병진균감염120례환자적림상자료진행회고성분석。결과：폐결핵병당뇨병폐부진균감염적병원인이백색념주균위주84례(70.0%)，기타진균감염36례(30.0%)，기중복발폐결핵、수발폐결핵、중증폐결핵、경증폐결핵、혈당공제이상화혈당공제불이상감염백색념주균분별위：75.6%(72례)，46.2%(12례)，76.4%(84례)，0，57.1%(48례)화100.0%(36례)；복치폐결핵여수발폐결핵、중증폐결핵환자여경증폐결핵，혈당공제불이상여혈당공제이상비교，균감염백색념주균경가엄중，비교차이균유통계학의의(P<0.01)。결론：폐부진균감염적병원인이백색념주균위주，복치폐결핵급중증폐결핵환자다견；혈당공제정도명현영향폐결핵병합병진균감염환자병조적유합，폐결핵병병합당뇨병합병진균감염환자량자상보상성。
Objective:To discuss the clinical characteristics of diabetes and tuberculosis merger fungal infection and provide basis for clinical treatment. Methods:The clinical data of 120 cases with diabetes and tuberculosis merger fungal infection in Shenzhen a people’s hospital was analyzed retrospectively. Results:Pathogenic pathogens in diabetes and tuberculosis merger fungal infection candida albicans 84 cases(70.0%)primarily,other fungal infections 36 cases(30.0%),especially the retreatment pulmonary tuberculosis,starting tuberculosis,severe tuberculosis,light disease tuberculosis,diabetes control ideal and diabetes control was not ideal,the candida albicans infection rates were respectively 75.6%(72 cases),46.2%(12 cases),76.4%(84 cases),0,57.1%(48 cases) and 100.0%(36 cases).Treat tuberculosis and starting tuberculosis,severe tuberculosis patients and light disease tuberculosis,diabetes control was not ideal and diabetes control ideal comparison,were infected with candida albicans was more serious,all of the results had significant differences(P<0.01). Conclusion:Pathogenic pathogens in pulmonary fungus infection candida albicans primarily,especially the patients of retreatment pulmonary tuberculosis and severe tuberculosis.The blood glucose control level significantly affect the lesions’concrescence of patients with tuberculosis merger fungal infections,diabetes and tuberculosis merger fungus infection are both complement each other.
