CAJ | 학술논문

目的：探讨不同方案治疗2型糖尿病合并肺部感染的临床效果。方法将2010年7月到2013年7月门诊治疗的30例2型糖尿病合并肺部感染的患者作为研究对象，随机分为治疗组（胰岛素注射组）16例和对照组（口服降糖药组）14例。对两组的临床治疗效果及治疗前后空腹血糖水平比较。结果治疗组的临床效果优于对照组，差异有统计学意义；在血糖控制水平上，两组均能使治疗前后空腹血糖水平下降，但治疗组更优于对照组。结论治疗2型糖尿病合并肺部感染患者，在合理选用抗生素的基础上，联合胰岛素注射治疗，能及时有效控制血糖，提高患者肺部感染的治愈率。
목적：탐토불동방안치료2형당뇨병합병폐부감염적림상효과。방법장2010년7월도2013년7월문진치료적30례2형당뇨병합병폐부감염적환자작위연구대상，수궤분위치료조（이도소주사조）16례화대조조（구복강당약조）14례。대량조적림상치료효과급치료전후공복혈당수평비교。결과치료조적림상효과우우대조조，차이유통계학의의；재혈당공제수평상，량조균능사치료전후공복혈당수평하강，단치료조경우우대조조。결론치료2형당뇨병합병폐부감염환자，재합리선용항생소적기출상，연합이도소주사치료，능급시유효공제혈당，제고환자폐부감염적치유솔。
Objective To explore the effect of diagnosis and treatment of patients with type 2 diabetes mellitus complicated with pulmona-ry infection. Methods Thirty patients with type 2 diabetes complicated with pulmonary infection in this hospital during July 2010 to July 2013 were selected as study subjects,they were randomly divided into trial group(insulin injection group,n = 16)and control group(oral medication group,n = 14). The clinical effect and fasting glucose levels before and after treatment were compared between these 2 groups. Results The clinical effect of trial group was better than that of control group,and the difference was statistically significant. Fasting glucose level had been de-creased after treatment in both groups,but it was more better in trial group than that of control group. Conclusion Patients with type 2 diabetes are often complicated with pulmonary infection by gram - negative bacteria,it is reasonable to choose antibiotics combined with insulin injection, thus it can timely and effectively control the blood level of glucose and raise the cure rate of lung infection in these patients.