CAJ | 학술논문

目的：探讨老年肺结核合并糖尿病的临床特点及诊治经验，便于控制好糖尿病，利于肺结核病情控制，改善患者症状，加快病灶吸收，空洞闭合，避免因传染性而危害社会，乃至肺结核复发，影响患者生活质量。方法总结我院60岁以上老年肺结核合并糖尿病的临床特点，血糖控制水平与肺结核症状改善、病灶变化之间的联系等。结果老年肺结核合并糖尿病症状不典型，痰菌阳性率高，空洞发生率高，干酪病灶较多、较重，传染性强，社会危害性较大，误诊率高，早期不易确诊，空洞闭合难，治愈率低，抗痨药物不良反应较多，不易坚持、完成抗痨治疗疗程，容易复发等特点。结论应加强60岁以上老年肺结核合并糖尿病患者的早期发现，早期规范抗痨治疗、管理，加强抗痨药物不良反应的监测和及时处理，保证血糖控制良好，避免空洞长期不能闭合，其内结核菌休眠，导致复发、甚至耐药肺结核的发生，这些对结核病防治工作起到良好的促进作用。
목적：탐토노년폐결핵합병당뇨병적림상특점급진치경험，편우공제호당뇨병，리우폐결핵병정공제，개선환자증상，가쾌병조흡수，공동폐합，피면인전염성이위해사회，내지폐결핵복발，영향환자생활질량。방법총결아원60세이상노년폐결핵합병당뇨병적림상특점，혈당공제수평여폐결핵증상개선、병조변화지간적련계등。결과노년폐결핵합병당뇨병증상불전형，담균양성솔고，공동발생솔고，간락병조교다、교중，전염성강，사회위해성교대，오진솔고，조기불역학진，공동폐합난，치유솔저，항로약물불량반응교다，불역견지、완성항로치료료정，용역복발등특점。결론응가강60세이상노년폐결핵합병당뇨병환자적조기발현，조기규범항로치료、관리，가강항로약물불량반응적감측화급시처리，보증혈당공제량호，피면공동장기불능폐합，기내결핵균휴면，도치복발、심지내약폐결핵적발생，저사대결핵병방치공작기도량호적촉진작용。
Objective To investigate the clinical features and treatment experience of tuberculosis in elderly with diabetes, to control diabetes well easily, which will help control tuberculosis disease, improve symptoms and accelerate foci, cavity closure, to avoid infectious and harm to society, and even tuberculosis relapse, affecting the quality of life of patients.MethodsWe summarized the clinical characteristics of pulmonary tuberculosis who aged over 60 with diabetes, blood glucose control level and tuberculosis symptom improvement, the connection between the lesion changes.Results The symptoms of senile pulmonary tuberculosis with diabetes are atypical, and the pathogenic bacteria have high positive rate. The caseous leseous lesions are more severe and progressive and have a much higher percentage of cavitations. The senile pulmonary tuberculosis with diabetes has strong infection, high misdiagnosis and low cure rate and so on.ConclusionThe management of patients suffering from senile pulmonary tuberculosis with diabetes who are over 60 years old should be strengthened and the therapy should be standardized, which has a positive effect for preventing TB.