糖尿病合并肺结核38例临床分析

[目的]探讨糖尿病合并肺结核的临床特点和治疗效果。[方法]选取同期38例糖尿病合并肺结核患者(A组)与38例非糖尿病肺结核患者(B组),以同一抗痨方案治疗,比较两组病例的临床症状、胸部X线表现、实验室检查及治疗效果。[结果]①A组较B组起病急症状重(结核中毒症状、咯血较多见),病变范围广,易于形成空洞,痰菌阳性率高,进展恶化快。②A组痊愈率、好转率、痰菌阴转率均低于B组(P﹤0.05)。[结论]严格控制血糖水平、规范化抗痨治疗有助于改善糖尿病合并肺结核患者的预后。

CLINICAL ANALYSIS ON 38 CASES OF DIABETES COMPLICATED WITH PULMONARY TUBERCULOSIS

[Objective]To explore the clinical features of diabetes complicated with pulmonary tuberculosis.[Methods]The same therapy was used to treat 38 cases of diabetes complicated with pulmonary tuberculosis(group A)and 38 cases of pulmonary tuberculosis without diabetes(group B),then the clinical symptoms,X-ray representations of the chest,laboratory results,and therapeutic efficacy of the two groups were compared.[Results]Compared with group B,cases in group A had more abrupt omset,more serious clinical symptoms,more wider extent of disease,more higher positive rate of smear of sputum and speed of aggravation;otherwise,the recovery rate,the improvement rate,and the rate of negative thransformed from positive in group A were all significantly better that those in group B.[Conclusions]Controlling blood and strengthening chemotherapy are felpful to improve the prognosis of diabetes complicated with pulmonary tubercuiosis.