摘要
目的探讨重症肺炎合并糖尿病患者的临床治疗措施。方法对我院收治的82例重症肺炎合并糖尿病患者采取针对性的治疗措施并总结治疗体会。结果 82例重症肺炎合并糖尿病患者经过积极的抢救与治疗,63例临床好转或治愈出院,10例死亡,9例家属放弃治疗自动出院。重症肺炎合并糖尿病死亡患者年龄大于生存患者,差异有统计学意义(P<0.05);使用胰岛素泵治疗重症肺炎合并糖尿病患者的病死率小于皮下注射胰岛素患者,差异有统计学意义(P<0.05);查到病原菌,根据药敏结果调整抗生素治疗重症肺炎合并糖尿病患者的病死率小于未查到病原菌经验性用药者,差异有统计学意义(P<0.05)。结论采用痰培养查病原菌、根据药物敏感试验结果调整抗生素,并与胰岛素泵经皮下输入胰岛素相结合治疗糖尿病合并重症肺炎在临床上有较好的效果。
Objective To explore the first aid and clinical treatment of patients with severe pneumonia and diabetes mellitus （DM）. Methods The clinical data of 82 cases of severe pneumonia and DM were retrospectively studied. Results Among the 82 patients of severe pneumonia and DM, 63 patients were improved or cured, 10 patients died, and 9 patients gave up treatment according to their family decision. The age of the death cases was significantly older than that of the survival cases （ P 〈 0. 05 ）. The mortality rate among those using insulin pump was significantly lower than those using subcutaneous injections of insulin （ P 〈 0.05 ）. The mortality rate among those treated with antibiotics suggested by drug sensitive test was significantly lower than those receiving empirical treatment for undetermined pathogenic bacteria （ P 〈 0. 05 ）. Conclusion Phlegm culture to detect pathogens, antibiotic treatment based on drug sensitive test, and insulin pump are effective treatment measures for patients with severe pneumonia and DM.
出处
《中国全科医学》
CAS
CSCD
北大核心
2013年第11期1299-1300,共2页
Chinese General Practice
基金
内蒙古自治区自然科学基金项目(2012MS1170)
关键词
重症肺炎
糖尿病
治疗
Pneumonia
Diabetes mellitus
Therapy
