临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2015年
1期
98-101
,共4页
2型糖尿病%肺结核%临床分析
2型糖尿病%肺結覈%臨床分析
2형당뇨병%폐결핵%림상분석
type 2 diabetes mellitus%pulmonary tuberculosis%clinical analysis
目的：探讨糖尿病合并肺结核患者的临床特点以及血糖控制对疾病治疗的影响。方法对90例糖尿病合并肺结核患者利用胰岛素和降糖药物控制血糖以及抗痨治疗，观察血糖、痰抗酸杆菌涂片转阴率、病灶吸收和空洞闭合，临床症状以及疾病复发等情况。结果90例患者的临床疗效总有效率为74．4%，血糖控制水平对痰抗酸杆菌涂片转阴率肺结核临床症状改善有一定的影响，其中血糖控制水平较好的患者痰菌转阴率为73．7%，病灶吸收好转率为86．5%、空洞闭合症状好转率为88．5%；血糖控制水平较差者的转阴率为28．6%，病灶吸收好转率为43．8%、空洞闭合症状好转率为33．3%。结论糖尿病合并肺结核的治疗，首先要控制血搪，同时进行抗结核治疗。
目的：探討糖尿病閤併肺結覈患者的臨床特點以及血糖控製對疾病治療的影響。方法對90例糖尿病閤併肺結覈患者利用胰島素和降糖藥物控製血糖以及抗癆治療，觀察血糖、痰抗痠桿菌塗片轉陰率、病竈吸收和空洞閉閤，臨床癥狀以及疾病複髮等情況。結果90例患者的臨床療效總有效率為74．4%，血糖控製水平對痰抗痠桿菌塗片轉陰率肺結覈臨床癥狀改善有一定的影響，其中血糖控製水平較好的患者痰菌轉陰率為73．7%，病竈吸收好轉率為86．5%、空洞閉閤癥狀好轉率為88．5%；血糖控製水平較差者的轉陰率為28．6%，病竈吸收好轉率為43．8%、空洞閉閤癥狀好轉率為33．3%。結論糖尿病閤併肺結覈的治療，首先要控製血搪，同時進行抗結覈治療。
목적：탐토당뇨병합병폐결핵환자적림상특점이급혈당공제대질병치료적영향。방법대90례당뇨병합병폐결핵환자이용이도소화강당약물공제혈당이급항로치료，관찰혈당、담항산간균도편전음솔、병조흡수화공동폐합，림상증상이급질병복발등정황。결과90례환자적림상료효총유효솔위74．4%，혈당공제수평대담항산간균도편전음솔폐결핵림상증상개선유일정적영향，기중혈당공제수평교호적환자담균전음솔위73．7%，병조흡수호전솔위86．5%、공동폐합증상호전솔위88．5%；혈당공제수평교차자적전음솔위28．6%，병조흡수호전솔위43．8%、공동폐합증상호전솔위33．3%。결론당뇨병합병폐결핵적치료，수선요공제혈당，동시진행항결핵치료。
Objective To investigate the clinical characteristics of patients with type 2 diabetes mellitus complicated with pulmonary tuberculosis and the impact of blood glucose control on the treatment of the disease. Methods 90 patients with type 2 diabetes mellitus complicated with pulmonary tuberculosis were treated with insulin and antidiabetic drugs to control the level of blood glucose and with anti-tuberculosis. Blood glucose, negative conver-sion rate of acid-fast bacilli sputum smear, clinical symptoms of lesion absorption and cavity closure and disease re-currence were observed. Results After the treatment, the total effective rate of the treatment group was 74. 4%, and the level of blood glucose control had an effect on negative conversion rate of acid-fast bacilli sputum smear and im-provement of clinical symptoms of pulmonary tuberculosis. As for the patients with better control of blood glucose, the negative conversion rate of acid-fast bacilli sputum smear was 73. 7%, and the improvement rate of clinical symptoms of lesions absorption and cavity closure was 86. 5% and 88. 5%, respectively. However, as for the patients with in-valid control of blood glucose, the negative conversion rate of acid-fast bacilli sputum smear was 28. 6%, and the im-provement rate of clinical symptoms of lesions absorption and cavity closure was 43. 8% and 33. 3%, respectively. Conclusion The control of blood glucose and anti-tuberculosis is the key to the treatment of type 2 diabetes mellitus complicated with pulmonary tuberculosis.
