肺结核合并糖尿病与单纯性肺结核临床疗效对比研究  

Comparison study of pulmonary tuberculosis with diabetes mellitus and pulmonary tuberculosis

作　　者：杨晓春[1] 

机构地区：[1]安徽医科大学附属第一医院呼吸内科,230022

出　　处：《临床肺科杂志》2005年第4期435-436,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨肺结核合并糖尿病病人的抗痨方案及其预后。方法选取2002年4月至2003年6月我院收治肺结核合并糖尿病及同期单纯肺结核初治病例各50例,对患者痰菌、病变情况、血糖及治疗结果等进行对比分析。结果轻、中、重型肺结核合并糖尿病组病灶吸收比例分别为90.00%、56.52%、52.94%,单纯肺结核组分别为92.31%、86.36%、86.67%,中型、重型合并糖尿病组与单纯肺结核组有统计学意义(P<0.05)。结论肺结核合并糖尿病时,两者相互有不利影响,对中型及重型病例,需要用胰岛素严格控制血糖水平,抗痨治疗疗程亦应延长。Objective To observe the antiphthisic schedule and the prognosis of pulmonary tuberculosis with concomitant diabetes mellitus(DM). MethodsFifty paired initial treated cases of pulmonary tuberculosis with DM and pulmonary tuberculosis during April 2002 to June 2003 were chosen and their clinical data were analyzed,including sputum positivity, lesion degrees, blood sugar level, and therapeutic results. Results The absorption rate of minimal, moderately advanced, and far advanced pulmonary tuberculosis with DM were 90.00%, 56.52%, and 52.94% respectively, those of pulmonary tuberculosis were 92.31%, 86.36%, and 86.67%. There was statistical significant difference between the two groups. Conclusion Diabetes complicated with pulmonary tuberculosis shows disadvantages to influence each other. More attention should be paid to moderately advanced and far advanced pulmonary tuberculosis with DM. On the one hand, blood sugar level should be controlled strictly; on the other hand, the antiphthisic course should be prolonged accordingly.

关 键 词：合并症 糖尿病 单纯性肺结核 血糖 胰岛素 

分 类 号：R521[医药卫生—内科学] R587.1[医药卫生—临床医学]