摘要
目的探讨老年人涂阳肺结核合并Ⅱ型糖尿病的治疗与转归。方法通过对33例老年人涂阳肺结核合并Ⅱ型糖尿病采用标准化疗和其他联合化疗方案治疗,观察涂阳肺结核治疗二个月和三个月末痰涂片阴转情况和对疗程的转归情况。结果标准化治疗二月末阴转率为46%;治疗三月末阴转率为61.5%,疗程8个月治愈率为69.2%,疗程12个月治愈率为81.8%,疗程16个月治愈率为87.8%,复治病例治愈率为70%。结论本组病例男性多于女性。老年人涂阳肺结核合并Ⅱ型糖尿病的治疗必须在有效的控制血糖治疗下,可根据不同病情选用标准化疗方案或其它包含RFP、INH、PZA、EMB、SM、左氧等有效联合化疗方案治疗,疗程要达12~16个月以上。
Objective To discuss the treatment and prognosis of senile smear - positive pulmonary tuberculosis cases complicated with type 2 diabetes. Methods There 33 senile smear - positive pulmonary tuberculosis cases complicated with type 2 diabetes were treated with standard chemotherapy combined with other chemotherapy. The sputum negative conversion rates and prognosis were obsereved two and three months after treatment. Results The negative conversion rates in the pa- tients two and three months after treated with standardized chemotherapy were 46% and 61.5%. The cure rates in the cases treated with the courses of 8, 12 and 16 months were 69.2%, 81.8% and 87.8%. The cure rate of retreatment was 70.0%. Conclusion Standardized chemotherapy or combined use of RFP, INH, PZA, EMB, SM for the courses of over 12-16 months are effective for treatment of senile pulmonary tuberculosis.
出处
《中国热带医学》
CAS
2008年第8期1333-1334,共2页
China Tropical Medicine
关键词
老年人
涂阳肺结核
糖尿病
标准化疗
抗酸杆菌
The elderly
Smear - positive pulmonary tube^culosis
Diabetes mellitus
Standard chemotherapy
Acid -fast bacillus
