摘要
目的探讨糖尿病(DM)合并肺结核(PTB)的临床特征及疗效。方法回顾分析我院收治的74例糖尿病合并肺结核(DM-PTB)患者和同期收治的74例单纯肺结核患者临床资料。结果糖尿病合并肺结核组结核中毒症状者、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)。治疗后,血糖控制理想组结核中毒症状、结核病灶吸好转率、痰菌阴转率与单纯肺结核组相比差异无统计学意义(P>0.05);血糖控制尚可组与对照组前述指标显著差异(P<0.05);血糖控制差组与对照组指标有极显著性差异(P<0.01)。结论糖尿病合并肺结核的临床表现有其一定的特征,早诊断、早治疗,有效控制血糖是治疗肺结核的保障。
Objective To explore the clinical features and therapeutic effect of diabetic amalgamative tuberculo- sis. Methods Retrospective analysis of 74 eases of diabetic patients with pulmonary tuberculosis and the records of clin- ical data of 74 cases of simple pulmonary tuberculosis patients during the same period. Results The diabetic pulmonary tuberculosis group tuberculosis poisoning symptoms, cavitation, lung disease for more than two oven lung field, the ratio of n/reed tuberculosis bacterium was significantly higher （ P 〈 0. 05 ）. After treatment, blood sugar control ideal set of n/ med tuberculosis poisoning symptoms, rate of tuberculosis kitchen, the absorption, phlelgn germ feminine changed com- pared with pure tuberculosis group there was no statistically significant difference （ P 〉 0. 05 ） ; Blood sugar control well group and control group in the foregoing index significantly different （ P 〈 0. 05 ） ; Poor blood sugar control group and the control indicators have extremely significant difference （P 〈 0. 01 ）. Conclusions The clinical manifestations of diabetic amalgamative tuberculosis has its certain features, early diagnosis, early treatment, the effective control of blood glucose is the guarantee for the treatment of tuberculosis.
出处
《航空航天医学杂志》
2015年第6期693-695,共3页
Journal of Aerospace medicine
关键词
糖尿病
肺结核
临床分析
Diabetes
Tuberculosis
Clinical analysis
