心血管康复医学杂志
心血管康複醫學雜誌
심혈관강복의학잡지
JOURNAL OF CARDIOVASCULAR REHABILITATION MEDICINE
2015年
4期
359-362
,共4页
糖尿病%结核,肺%康复
糖尿病%結覈,肺%康複
당뇨병%결핵,폐%강복
Diabetes mellitus%Tuberculosis,pulmonary%Rehabilitation
目的：探讨康复干预对糖尿病并发肺结核患者疗效的影响。方法：选择2008年1月～2013年8月我院收治的108例糖尿病并发肺结核患者为研究对象，按随机数字法被分为康复干预组和常规治疗组，各组54例。干预时间为8周，比较两组患者的康复效果。结果：两组患者治疗后空腹血糖和餐后2h 血糖均较治疗前有显著下降（P均＜0.01）；与常规治疗组比较，康复干预组治疗后空腹血糖[（6.77±1.82）mmol／L 比（5.54±1.46）mmol／L]及餐后2h 血糖[（7.94±1.83）mmol／L 比（6.87±1.42）mmol／L]下降更显著（P ＜0.01），胸腔积液显著减少或消失的比例（51.85％比83.33％）、结核病灶明显缩小或闭合的比例（44.44％比72.22％）均明显增加（P 均＜0.01）。结论：康复干预能让患者血糖得到较好控制，促进胸腔积液和肺部结核病灶的吸收。
目的：探討康複榦預對糖尿病併髮肺結覈患者療效的影響。方法：選擇2008年1月～2013年8月我院收治的108例糖尿病併髮肺結覈患者為研究對象，按隨機數字法被分為康複榦預組和常規治療組，各組54例。榦預時間為8週，比較兩組患者的康複效果。結果：兩組患者治療後空腹血糖和餐後2h 血糖均較治療前有顯著下降（P均＜0.01）；與常規治療組比較，康複榦預組治療後空腹血糖[（6.77±1.82）mmol／L 比（5.54±1.46）mmol／L]及餐後2h 血糖[（7.94±1.83）mmol／L 比（6.87±1.42）mmol／L]下降更顯著（P ＜0.01），胸腔積液顯著減少或消失的比例（51.85％比83.33％）、結覈病竈明顯縮小或閉閤的比例（44.44％比72.22％）均明顯增加（P 均＜0.01）。結論：康複榦預能讓患者血糖得到較好控製，促進胸腔積液和肺部結覈病竈的吸收。
목적：탐토강복간예대당뇨병병발폐결핵환자료효적영향。방법：선택2008년1월～2013년8월아원수치적108례당뇨병병발폐결핵환자위연구대상，안수궤수자법피분위강복간예조화상규치료조，각조54례。간예시간위8주，비교량조환자적강복효과。결과：량조환자치료후공복혈당화찬후2h 혈당균교치료전유현저하강（P균＜0.01）；여상규치료조비교，강복간예조치료후공복혈당[（6.77±1.82）mmol／L 비（5.54±1.46）mmol／L]급찬후2h 혈당[（7.94±1.83）mmol／L 비（6.87±1.42）mmol／L]하강경현저（P ＜0.01），흉강적액현저감소혹소실적비례（51.85％비83.33％）、결핵병조명현축소혹폐합적비례（44.44％비72.22％）균명현증가（P 균＜0.01）。결론：강복간예능양환자혈당득도교호공제，촉진흉강적액화폐부결핵병조적흡수。
Objective:To explore therapeutic effect of rehabilitation intervention on patients with diabetes mellitus (DM)complicated tuberculosis (TB).Methods:A total of 108 DM + TB patients treated in our hospital from Jan 2008 to Aug 2013 were enrolled.According to random number method,they were randomly and equally divided into rehabilitation intervention group and routine treatment group.The intervention course was eight weeks,and then rehabilitation effect was compared between two groups.Results:Compared with before treatment,after treatment, there were significant reductions in fasting blood glucose (FBG)and 2h postprandial blood glucose (2hPBG)in both groups,P <0.01 all;compared with routine treatment group,after treatment,there were significant reductions in levels of FBG [(6.77±1.82)mmol/L vs.(5.54±1.46)mmol/L]and 2hPBG [(7.94±1.83)mmol/L vs.(6.87 ±1.42)mmol/L],P <0.01 both,and significant rise in percentages of significant reduced or disappeared pleural effusion (51.85% vs.83.33%)and significant reduced or closed TB focus (44.44% vs.72.22%)in rehabilitation intervention group,P <0.01 both.Conclusion:Rehabilitation intervention can make patients get better control of blood glucose,promote absorption of pleural effusion and pulmonary tuberculosis focus.
