CAJ | 학술논문

目的:探讨老年糖尿病合并肺结核的临床特征,提高诊治水平.方法:收集2013年1月~2014年1月我院住院的59例老年糖尿病合并初治肺结核患者入院时临床症状、辅助检查资料及治疗后转归资料进行回顾性分析.根据平均年龄,60~67岁分为A组(低老龄组)32例,68~84岁分为B组(超老龄组)27例,比较A,B两组主要临床特征、辅助检查以及治疗转归;根据入院初次FBG平均水平,6.1~10.2mmol/L分为C组(低高血糖组)38例,10.3~18.2mmol/L分为D组(超高血糖组)21例,比较C,D两组主要临床特征、辅助检查以及治疗转归.结果:治疗前临床症状、辅助检查以及治疗后转归B组与A组比较,多数指标结果有统计学差异(P<0.05);治疗前临床症状、辅助检查以及治疗后转归D组与C组比较,大多数指标结果有统计学差异(P<0.05).结论:对于老年糖尿病合并初治肺结核患者,患者的年龄高低、基础血糖水平,均构成了影响其临床特征及治疗转归的重要因素.
목적:탐토노년당뇨병합병폐결핵적림상특정,제고진치수평.방법:수집2013년1월~2014년1월아원주원적59례노년당뇨병합병초치폐결핵환자입원시림상증상、보조검사자료급치료후전귀자료진행회고성분석.근거평균년령,60~67세분위A조(저노령조)32례,68~84세분위B조(초노령조)27례,비교A,B량조주요림상특정、보조검사이급치료전귀;근거입원초차FBG평균수평,6.1~10.2mmol/L분위C조(저고혈당조)38례,10.3~18.2mmol/L분위D조(초고혈당조)21례,비교C,D량조주요림상특정、보조검사이급치료전귀.결과:치료전림상증상、보조검사이급치료후전귀B조여A조비교,다수지표결과유통계학차이(P<0.05);치료전림상증상、보조검사이급치료후전귀D조여C조비교,대다수지표결과유통계학차이(P<0.05).결론:대우노년당뇨병합병초치폐결핵환자,환자적년령고저、기출혈당수평,균구성료영향기림상특정급치료전귀적중요인소.
Objective: To analyze the clinical features of senile diabetic patients combined with initial treatment of pulmonary tuberculosis and improve the level of diagnosis and treatment.Methods:59 cases of elderly diabetic patients with initially treated pulmonary tuberculosis patients hospitalized in our hospital between January 2013 to January 2014,their clinical symptoms,auxiliary examination data, and treatment outcome after admission were collected and retrospectively analyzed.According to the average age, 60 to 67 years of age were divided into A group (low age group) 32 cases, 68 to 84 years old were divided into B group (27 cases), A and B groups of the main clinical characteristics, auxiliary examination and treatment outcome were compared.According to the average level of initial FBG, 6.1 to 10.2mmol/L were divided into C group (38 cases), 10.3 to 18.2mmol/L D group (21 cases), C and D groups of the main clinical characteristics, auxiliary examination and treatment outcome were compared.Results:The clinical symptoms, auxiliary examinations, outcomes after treatment of the B group were compared with that of the A group, and most of the results were statistically different (P<0.05);The clinical symptoms, auxiliary examinations, outcomes after treatment of the patients with D were compared with that of the C group, and most all of the results were statistically different (P<0.05).Conclusion:For senile diabetic patients combined with initial treatment of pulmonary tuberculosis, the age of patients, the level of basic blood glucose, constitute important factors,that affect the clinical characteristics and treatment outcome.