糖尿病合并支气管-肺部感染的临床特点分析  

Bronchopulmonary Infections Among Aged Diabetes Patients: An Analysis on Their Clinical Features

作　　者：梁珍 吴本权[2] 周凤丽[2] 毕小刚[2] 

机构地区：[1]湖南省结核病医院,湖南长沙410013 [2]中山大学附属第三医院呼吸内科

出　　处：《实用预防医学》2007年第1期62-64,共3页Practical Preventive Medicine

摘　　要：目的探讨糖尿病合并支气管-肺部感染的临床特征,进一步预防和控制感染。方法对糖尿病合并支气管-肺部感染的临床特征进行回顾性分析。结果糖尿病合并支气管-肺部感染的患者,临床表现不典型,老年糖尿病患者的发病率(82.60%)明显高于非老年糖尿病患者(17.39%),糖尿病病程5年以上者,感染的发病率(60.86%)明显高于病程5年以下者(39.13%),病原菌分布以G-菌为主,但耐甲氧西林金黄色葡萄球菌占27.27%。结论老年糖尿病患者的发病率明显高于非老年糖尿病患者,且病程越长发病率越高。早期使用有效抗生素能有效治疗支气管-肺部感染。Objetcive To explore the clinical features of bronchopulmonary infections in aged diabetic patients for preventing and controlling this kind of disease. Method The clinical features of bronch- pulmonary infection in aged diabetic patients were retrospectively analyzed. Results The clinical features of diabetic patients with bronchopulmonary infection was not typical. The infection rate was higher in aged diabetic patients（82.60% ） than in non- diabetic aged patients（17. 39% ）. In addition, the patients had a disease course of diabetes more than 5 years had a higher incidence than those with less than 5 years disease course. The pathogens were mainly Gram negative bacilli, however, 27.3% were MRSA. Conclusions The aged diabetic patients with a longer disease course are risk factors of bronchopulmonary, they have higher morbidity. Early recognition and proper antibiotic treatment is effective among them.

关 键 词：糖尿病 肺部感染 临床分析 

分 类 号：R587.1[医药卫生—内分泌]