饮食干预对糖尿病合并肺结核患者临床疗效影响

目的了解饮食干预对促进糖尿病合并肺结核患者的治疗效果的影响。方法将72例糖尿病合并肺结核患者随机分为干预组和对照组。调查患者原有饮食习惯,干预组制定个性化饮食治疗方案,对照组采用传统的健康教育进行饮食指导,葡萄糖氧化酶-过氧化物酶法检测2组患者治疗前后及空腹、餐后2 h血糖控制情况,观察干预前后胸腔积液吸收状况及病灶变化,干预前、2个月时的痰阳性例数。结果干预组空腹血糖及餐后2 h血糖明显低于对照组(t=6.193,P<0.001;t=4.770,P<0.001),胸腔积液明显减少或消失症状及痰菌转阴率明显高于对照组,差异有统计学意义(x2=1.797,P=0.002),结核病灶明显缩小或闭合所占比例高于对照组,但差异无统计学意义(x2=1.532,P=0.216),2月时痰菌转阴率明显高于对照组(x2=4.600,P=0.032)。结论饮食干预对糖尿病的控制和肺结核的康复有良好疗效。

Efficacy analysis of Dietary Intervention on Diabetic Patients with Pulmonary Tuberculosis

Objective To know the effect of dietary intervention on promoting the treatment of pulmonary tuberculosis with diabetes mellitus patients.Methods 72 cases of pulmonary tuberculosis with diabetic patients were randomly divid- ed into dietary intervention group and control group. After investigating patients＇ original eating habits dietary interven- tion group accepted individualized treatment programs but the control group got traditional health education dietary guidance. The fasting plasma glucose and postprandial 2-hour glucose of two group patients＇ were determined by glu- cose oxidase-peroxidase method before and after treatment. The two groups＇ pleural effusion absorption position and focus changes were observed. The number of positive sputum cases were detected before intervention and 2 months after treatment. Results The fasting plasma glucose and postprandial 2-hour glucose of intervention group were significantly lower than those of control group （t=6.193, P〈0.001; t=4.770, P〈0.001 ）. Pleural effusion significantly reduced or dis- appeared and sputum negative symptoms of intervention group were significantly higher than those control group （x2=-1.797,P=-0.002 ）o The focus of the tuberculosis significantly reduced or the proportion of closed focus was higher than that of control group but the difference was not statistically significant （x2=l.532,P=-0.216）. The rate of sputum turning negative of dietary intervention group was significantly higher than that of control group （x2=4.600,P=-0.032）. Conclusion Dietary intervention had good effect for the rehabilitation of diabetes and tuberculosis control.