CAJ | 학술논문

目的：通过两组止血药物对糖尿病合并肺结核小量咯血治疗的对比观察，探讨不住院门诊治疗糖尿病合并肺结核小量咯血的可行性。方法经结核门诊一般检查或必要的特殊检查确认的糖尿病合并肺结核小量咯血病例，均采取措施控制血糖在正常范围，随机分为联合投药组（安络血和云南白药组）与单一投药组（云南白药组），进行止血效果临床观察，对两组的疗效和安全用药进行评价。结果安络血与云南白药联合投药组临床观察65例，5日止血有效率为78.46%；10日止血有效率为92.30%。云南白药单一投药组临床观察63例，5日止血有效率为61.90%，10日止血有效率为74.60%。两组临床数据采用四格表资料法进行χ2值显著性检验，5日止血有效率联合投药组优于单一投药组（P＜0.05）；10日止血有效率联合投药组优于单一投药组（P＜0.01）。结论治疗糖尿病合并肺结核小量咯血两组比较，在控制血糖在正常范围的前提下，联合投药组5日止血有效率、10日止血有效率均优于单一投药组，即安络血与云南白药治疗糖尿病合并肺结核小量咯血疗效安全可靠，可以用于门诊治疗。
목적：통과량조지혈약물대당뇨병합병폐결핵소량각혈치료적대비관찰，탐토불주원문진치료당뇨병합병폐결핵소량각혈적가행성。방법경결핵문진일반검사혹필요적특수검사학인적당뇨병합병폐결핵소량각혈병례，균채취조시공제혈당재정상범위，수궤분위연합투약조（안락혈화운남백약조）여단일투약조（운남백약조），진행지혈효과림상관찰，대량조적료효화안전용약진행평개。결과안락혈여운남백약연합투약조림상관찰65례，5일지혈유효솔위78.46%；10일지혈유효솔위92.30%。운남백약단일투약조림상관찰63례，5일지혈유효솔위61.90%，10일지혈유효솔위74.60%。량조림상수거채용사격표자료법진행χ2치현저성검험，5일지혈유효솔연합투약조우우단일투약조（P＜0.05）；10일지혈유효솔연합투약조우우단일투약조（P＜0.01）。결론치료당뇨병합병폐결핵소량각혈량조비교，재공제혈당재정상범위적전제하，연합투약조5일지혈유효솔、10일지혈유효솔균우우단일투약조，즉안락혈여운남백약치료당뇨병합병폐결핵소량각혈료효안전가고，가이용우문진치료。
Objective To compare hemostatic drugs were observed small amount of hemoptysis of pulmonary tuberculosis on diabetes treatment, and explore the feasibility of non-diabetic patients with tuberculosis treatment in hospital outpatient small amount of hemoptysis. Methods General inspection by tuberculosis clinic diabetes cases or small amount of hemopty-sis of pulmonary tuberculosis necessary special inspection confirmed, are taking measures to control blood sugar in the nor-mal range, they were randomly divided into combined administration group (security network of blood and Yunnan Baiyao Group) with a single dosage unit (Yunnan Baiyao group), conducted hemostasis clinical observation of two groups to evaluate the efficacy and safety of medication. Results Yunnan Baiyao joint security network of blood and drug administration group, 65 cases of clinical observation, the 5th bleeding rate was 78.46%;the 10th bleeding rate was 92.30%. Yunnan Baiyao sin-gle administration group 63 cases of clinical observation, the 5th bleeding rate was 61.90 percent, the 10th rate is 74.60%effective hemostasis. Comparison of clinical data using tables from method χ2 value significance test, the 5th hemostatic ef-ficiency of the combined administration group than single administration group (P<0.05);10th hemostasis efficient joint ad-ministration group than the single dosage unit (P<0.01). Conclusion The small amount of hemoptysis of pulmonary tubercu-losis treatment of diabetes between the two groups, in the control of blood glucose in the context of the normal range, the joint administration group on the 5th hemostatic effectiveness, the 10th hemostatic effective rate than single administration group, namely security network of blood and Yunnan Baiyao small amount of hemoptysis of pulmonary tuberculosis treat-ment of diabetic efficacy safe, can be used for outpatient treatment.