糖尿病伴肺部感染83例临床分析

目的　分析糖尿病伴肺部感染的临床特点,探讨其治疗策略。方法　对 83例糖尿病伴肺部感染患者临床相关因素(性别、年龄、病程、血糖、并发症、痰菌等)和治疗效果进行回顾性分析。结果　糖尿病伴肺部感染的发生率为 25. 4%,其发生与年龄、病程、血糖高低及同时存在的糖尿病其他并发症有密切关系(P<0. 05或 0. 01 ),而与性别无关;肺部感染类型以急性气管—支气管炎为主 (占42. 2% ),其次为肺炎、慢性支气管炎、肺结核等。肺部感染以革兰阴性杆菌为主。83例中痊愈和显效64例(占 77. 1% ),死亡 15例(占 18. 1% )。结论　定期行胸部X线检查,控制血糖,预防和治疗糖尿病并发症,有效抗生素应用是防治本病的关键。

Clinical analysis for 83 cases of diabetes mellitus complicated by pulmonary infection

Objective To analyze the clinical characteris ti cs of diabetes mellitus (DM) complicated by pulmonary infection,and to explore the treatment tactics.Methods A retrospective investigation inc luding the related factors (sex,age,course of disease,blood glucose,complica tions,bacteria in sputum) and therapeutic effect was performed in 83 patients w ith DM complicated by pulmonary infection.Results The incidence of DM complicated by pulmonary infection was 25.4%,which related closely to pa tient’s age,course of disease,the levels of blood glucose and complications ( P<0.05 or P<0.01),however,which didn’t relate to sex.The pulmonary infections were mainly acute trachitis and bronchitis (42.2%),then pneumonia,c hronic bronchitis and pulmonary tuberculosis,etc.The infections were caused ma inly by Gram-negative bacilli.Among 83 patients cure rate and effective rate w ere 77.1% (64 ca ses),mortality rate was 18.1% (15 cases).Conclusion The keys of pro tecting and treating diabetes mellitus complicated by pulmonary infection are re gular chest X-ray examination,control of blood glucose,precaution and treatme nt for diabetic complications and application of effective antibiotics.