老年人糖尿病与结核病并存临床特点的探讨

目的　探讨老年人糖尿病与结核病并存的临床特点。　方法　对 1 1 8例老年糖尿病并存肺结核患者与 69例非老年患者进行临床对照分析。　结果　先患糖尿病后发现肺结核、肺结核并存空洞者、重症肺结核、有并发症者例数和病死率 ,老年组分别为 85例 ( 72 %)、68例 ( 57.6%)、66例( 55.9%)、61例 ( 51 .7%)、1 3例 ( 1 1 %) ;非老年组分别为 3 5例 ( 50 .7%)、2 5例 ( 3 6.2 %)、2 7例( 3 9.2 %)、8例 ( 1 1 .6%)、3例 ( 4%)。两组比较差异有显著性 (分别为 P<0 .0 1和 P<0 .0 5)。　结论　老年人糖尿病并存结核病发病率高 ,易患空洞 ,病情严重且死亡率高 ;早期监测、预防与治疗、防止并发症的发生十分重要。

The clinical features of diabetes mellitus complicated with pulmonary tuberculosis in elderlies

Objective To investigate the clinical features of diabetes mellitus complicated with pulmonary tuberculosis in elderlies. Methods The date of 118 aged diabetics complicated with pulmonary tuberculosis were compared with those of 69 cases of young and middle aged patients. Results Patients suffering from dibetes first and then pulmonary tuberculosis; patients with tuberculous pulmonary cavitation; patients with serious pulmonary tuberculosis; patients with complications and patients died in the elderly group were 85 cases(72%), 68 cases(57 6%), 66 cases(55 9%), 61 cases(51 7%) and 13 cases (11%) respectively, while in the non elderly group they were 35 cases(50 7%), 25 cases (36 2%), 27 cases (39 2%), 8 cases (11 6%) and 3 cases (4%) respectively. There was significant difference between the two groups ( P <0 01 and P <0 05 respectively). Conclusions Early diagnosis and treatment and prevention of complications are very important in senile diabetics with pulmonary tuberculosis.