摘要
目的探究接受强化治疗期末老年糖尿病合并肺结核痰菌未转阴患者的相关危险因素。方法于2017年9月至2018年10月期间,随机选取本院46例接受强化治疗期末老年糖尿病合并肺结核痰菌未转阴患者,对患者的临床资料进行有效收集,如糖尿病病程、胸片检查结果以及血糖指标等;并对所有患者的年龄、糖尿病病程、空洞因素以及空腹血糖水平等准确统计。对痰菌未阴转的有关危险因素进行分析与记录。结果患者年龄超过70岁所占比例明显高于年龄在66~70岁、60~65岁所占比例(P<0.05);患者糖尿病病程超过5年所占比例明显高于2~4年、0~1年所占比例(P<0.05);患者病灶范围超过3个肺叶所占比例明显高于1个肺叶、2个肺叶所占比例(P<0.05);患者肺叶空洞超过2个所占比例明显高于没有空洞、单肺叶空洞所占比例(P<0.05);患者空腹血糖超过10.00 mmol/L所占比例明显高于<6.10 mmol/L、6.10~10.00 mmol/L所占比例(P<0.05);患者糖化血红蛋白超过12.00%所占比例高于7.00%、7.00%~12.00%所占比例(P<0.05)。结论接受强化治疗期末老年糖尿病合并肺结核痰菌未转阴患者的危险因素十分复杂,临床需及早进行治疗,应充分重视血糖控制情况,以促使患者预后情况得到有效改善。
Objective To explore the risk factors of senile diabetes mellitus patients with tuberculosis non-negative conversion sputum bacteria after intensive treatment.Methods From September 2017 to October 2018,46 elderly patients with diabetes and pulmonary tuberculosis sputum bacteria were randomly selected in our hospital at the end of intensive treatment,and the clinical data of patients were effectively collected,such as the course of diabetes,chest X-ray examination results and blood sugar indicators.The age,course of diabetes,cavity factors and fasting blood glucose level of all patients were accurately counted.To analyze and record the related risk factors of sputum bacteria not turning negative.Results The proportion of patients over 70 years old was significantly higher than that of patients aged 66-70 years and 60-65 years old(P<0.05).The proportion of patients with diabetes for more than 5 years was significantly higher than that for 2-4 years and 0-1 year(P<0.05).The proportion of patients with more than 3 lobes was significantly higher than that of 1 lobe and 2 lobes(P<0.05).The proportion of patients with more than two pulmonary cavities was significantly higher than that of patients with no cavities and single pulmonary cavity(P<0.05).The proportion of fasting blood glucose exceeding 10.00 mmol/L was significantly higher than that of<6.10 mmol/L and 6.10-10.00 mmol/L(P<0.05).The proportion of patients with glycosylated hemoglobin exceeding 12.00%was higher than that of 7.00%and 7.00%-12.00%(P<0.05).Conclusion The risk factors of elderly patients with diabetes mellitus complicated with tuberculosis sputum bacteria not negative after intensive treatment are very complex.Early treatment is needed in clinic.Sufficient attention should be paid to blood sugar control so as to effectively improve the prognosis of patients.
作者
王晓红
杨立明
WANG Xiaohong;YANG Liming(Department of Internal Medicine of Infectious Tuberculosis,the 313 Hospital of the People's Liberation Army of China,Huludao 125000,China;Department of Internal Medicine,92941 PLA Military Hospital,Huludao 125000,China)
出处
《中国医药指南》
2020年第22期140-141,共2页
Guide of China Medicine
关键词
老年糖尿病
肺结核
强化治疗期末
痰菌未阴转
危险因素
分析
Senile diabetes mellitus
Tuberculosis
End of intensive treatment
Non-negative conversion sputum negative
Risk factors
Analysis
