老年肺结核并糖尿病49例临床诊疗分析  

Analysis of diagnosis and treatment in 49 elderly patients with tuberculosis and diabetes

作　　者：黎志良[1] 张卫[1] 

机构地区：[1]通城县人民医院感染科,湖北通城437400

出　　处：《临床肺科杂志》2012年第5期863-864,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨老年糖尿病合并结核病的临床特征。方法 121例无糖尿病老年肺结核组中,随机抽样抽取52例作为对照组,与49例老年2型糖尿病合并肺结核患者进行治疗后的疗效比较。结果老年糖尿病合并肺结核组,中、下叶病灶,干酪渗出性病灶要多于单纯肺结核组,增殖为主病灶少于单纯肺结核。血糖控制良好的病情缓解率与对照组比较差异无统计学意义。结论良好的血糖控制,是提高2型糖尿病合并肺结核病患者治疗效果的关键。Objective To investigate the clinical features of elderly patients with tuberculosis and diabetes.Method 52 cases were randomly selected in 121 patients of elderly tuberculosis without diabetes as the control group.49 elderly patients with tuberculosis and type 2 diabetes were randomly selected as the experimental group.The two groups were compared in the clinical features and the efficacy of treatment.Results Lesions on middle and lower lobe and cheese exudative lesions in elderly tuberculosis and type 2 diabetes were more than those in the control group,but proliferation-based tuberculosis lesions less than those in the control group.When good blood glucose control,there was no significant difference in the rate of remission between the two groups.Conclusion Good glycemic control is the key to improve type 2 diabetes with pulmonary tuberculosis.

关 键 词：老年人 肺结核 2型糖尿病 

分 类 号：R521[医药卫生—内科学]