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肺结核合并糖尿病46例临床分析 被引量:14

Clinical analysis of 46 patients with pulmonary tuberculosis complicated with diabetes
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摘要 目的探讨肺结核合并糖尿病病人的临床特点及控制血糖对疗效的影响。方法分析我院收治住院时间>30天的肺结核合并糖尿病患者(A组)及同期住院时间>30天的单纯肺结核初治患者(B组)的临床资料。结果血糖控制良好组的痰菌转阴率、空洞闭合率以及结核病灶吸收好转率显著优于血糖控制不佳组(P<0.05),血糖控制的水平直接影响其疗效。结论肺结核合并糖尿病应积极控制血搪,早期抗结核治疗.预防并发症的发生.能较好地控制结核,改善预后。 Objective To investigate the clinical features and the influence of blood glucose control on the patients with tubercu- losis complicated with diabetes. Methods The retrospective analysis had been taken on the clinical characters, photographic methods, and laboratory test results of the patients with pulmonary tuberculosis complicating diabetes ( Group A) and those with tuberculosis only ( Group B) , all of whose duration of hospital stay was more than 30 days from January, 2010 to May, 2011. Results The improvement of sputum negative conversion rate, cavity closure rate and tuberculosis absorption was more pronounced in the blood glucose well-con- trolled group than in the blood glucose poor-controlled group ( P 〈 0.05 ). The level of blood glucose control would directly affect their effi- cacy. Conclusion The condition of patients with tuberculosis and diabetes can be controlled and improved by the positive control of blood glucose, early anti-tuberculosis treatment and complication preventions.
作者 郭茹 杜亚东
出处 《临床肺科杂志》 2012年第12期2216-2217,共2页 Journal of Clinical Pulmonary Medicine
关键词 肺结核 糖尿病 临床分析 疗效 tuberculosis diabetes clinical analysis efficacy
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