84例糖尿病合并肺结核患者的临床分析  

Clinical Analysis on 84 Pulmonary Tuberculosis Combined with Diabetes

作　　者：汪菊萍[1] 赵星[1] 

机构地区：[1]重庆市公共卫生医疗救治中心,重庆400036

出　　处：《中国医药指南》2011年第12期182-183,共2页Guide of China Medicine

摘　　要：目的回顾性分析糖尿病合并肺结核患者的临床特征及其药物治疗的效果。方法选择肺结核合并糖尿病患者84例(观察组)与同期住院的肺结核患者86例(对照组)做对比分析。结果与对照组相比,观察组有结核中毒症状者、咯血者、空洞形成者、肺病灶超过两肺野者、结核菌阳性者的比例明显高(P<0.05),肺部病灶以非肺结核好发部位发病率高(P<0.05)。短期治疗后,血糖控制理想组结核中毒症状及咯血消失率、结核病灶吸收或好转率、空洞缩小率、痰菌阴转率与对照组相比差异无统计学意义(P>0.05);血糖控制尚可组上述指标除咯血消失率均有统计学意义(P<0.05);血糖控制差组上述指标的好转率与对照组相比有极显著性差异(P<0.01)。结论肺结核合并糖尿病者的病情较重,应早诊断,早治疗,特别是积极降糖治疗,良好的血糖控制是结核治疗的关键。Objective To retrospectively analyze the characters and the treatment effect of 84 pulmonary tuberculosis（TB） combined with diabetes.Methods84 patients with pulmonary tuberculosis combined with diabetes were regarded as observing group while 86 randomly selected cases of pulmonary tuberculosis as control group.ResultsThe positive rates of such clinical manifestations as the symptoms of respiratory tract,hemoptysis,sputum bacterium,the rates of cavitations and lesions with over two zones in observing group were higher than those of the control group（P0.05）.The lesions located more in the non-common sites（P0.05）.After a 3 month period of anti-TB therapy,the improvement of TB in diabetes well controlled group was the same as that of control group,however,the improvement of TB in diabetes poorly controlled group was worst than those in the control group（P0.01）.Conclusion Pulmonary tuberculosis combined with diabetes is more serious in pathogenetic condition than TB a lone,thus,the clinical doctors should be more alert against the occurrence of tuberculosis in diabetes group.The effect of anti-TB therapy is related to the control of blood glucose.Blood glucose control is critical to pulmonary tuberculosis with diabetes mellitus.

关 键 词：糖尿病 肺结核 临床分析 

分 类 号：R587.1[医药卫生—内分泌]