中西医结合联合免疫调节剂治疗糖尿病合并肺结核的临床研究

目的探讨糖尿病合并肺结核的临床特点，观察应用抗结核药、中草药和微卡菌苗联合治疗糖尿病合并肺结核的临床效果。方法43例糖尿病合并肺结核患者，随机分为治疗组23例，对照组20例，两组使用的化疗方案相同，治疗组加用中药制剂和微卡菌苗，疗程3个月。两组均控制血糖。观察两组患者治疗前后临床症状的变化，痰菌阴转率和胸片病变范围吸收情况。结果治疗组的临床症状好转率、痰菌阴转率以及胸片病灶吸收率，均高于对照组（P〈0．05）。结论在血糖保持正常稳定基础上．抗结核药、中草药和微卡菌苗联合治疗糖尿病合并肺结核，对缓解临床症状，杀灭结核菌，促进病变吸收有良好疗效。

combined traditional chinese medicine and western medicine and immunoregulation on the treatment of diabetes complicated with pulmonary tuberculosis of clinical observation

Objective To explore the clinical feature of diabetes complicated with pulmonary tuberculosis,clinical observation of conbined traditional Chinese medicine and chemotherapy medicine and mycobacterium vacate vaccine on the treatment of diabetes complicated with pulmonary tuberculosis. Methods Foutry-three patients of diabetes complicated with pulmonary tuberculosis were randomly divided into treatment group(n=23)and control group(n=20). The treatment groups were treated with traditional Chinese medicine and chemotherapy medicine and mycobacterium vacate vaccine,the control group were treated with chemotherapy medicine. After three month,the change of clinical symptom,sputum negative conversion rate and foci absorption were observed and evaluated. Results Clinical symptom,sputum negative conversion rate and foci absorption were approved than those in the control group respectively. Conclusions It was difficult to treat patient of diabetes complicated with pulmonary tuberculosis,combined traditional Chinese medicine and western medicine and mycobacterium vacate vaccine can effected a inprovement of clinical in the treatment of diabetes complicated with pulmonary tuberculosis.