老年糖尿病合并社区获得性肺炎32例临床分析

目的探讨老年糖尿病合并社区获得性肺炎的原因和治疗要点。方法将138例老年社区获得性肺炎患者按有无糖尿病分为糖尿病组和非糖尿病组,对照分析其实验室检查、病原菌分布特点、治疗及转归等比值差异。结果糖尿病组低蛋白血症、尿蛋白阳性、电解质紊乱的发生率明显高于非糖尿病组,差异有显著性(P<0.01),糖尿病组以G-杆菌感染为主,痊愈、显效率明显低于非糖尿病组,死亡率高于非糖尿病组(P<0.05)。结论老年糖尿病患者由于免疫功能低下等原因易发生肺炎,严格控制血糖,合理使用抗生素是治疗的关键。

Clinical analysis on thirty-two senile diabetes patients complicated with community acquired pneumonia

Objective To analyze the clinical characteristics of diabetes mellitus(DM) complicated with community acquired pneumonia(CAP) among elderly patients and explore the pathogeny and therapeutic tactics of the disease. Methods 138 elderly patients with community acquired pneumonia were divided into diabetes group and non-diabetes group according to whether suffering from diabetes mellitus and the results of laboratory tests. Distribution of pathogen, treatment and prognosis were analyzed. Results The incidences of hypoproteinemia, proteinuria positive, electrolyte disorder in diabetes group were significantly higher than that in non-diabetes group(P<0.01). The infections were caused mainly by Gram-negative bacilli in diabetes group. The fully recovery rate and efficacious rate were significantly decreased in diabetes group than in non-diabetes group, the mortality were higher than non-diabetes group (P<0.05). Conclusion The immune function in elderly patients with diabetes mellitus is lower and subject to pneumonia. The key measures for prevention and treatment of elderly diabetes mellitus complicated with community acquired pneumonia(CAP) are controlling the level of blood glucose rigronsly and reasonable application of effective antibiotics.