糖尿病合并肺结核57例临床分析

目的探讨糖尿病合并肺结核的临床特点、诊断和治疗方法。方法将57例糖尿病合并肺结核患者作为观察组,并选择同期单纯肺结核患者57例作为对照组。结果观察组治疗2个月末痰菌阴转33例(76.74%),对照组治疗2个月末痰菌阴转28例(84.85%),两组相比差异有统计学意义(P<0.05)。治疗5个月末观察组痰菌阴转率为100%,对照组阴转率为100%(P>0.05),观察组治疗1年总有效48例(84.21%),空洞闭合率29.41%(10/34),对照组治疗1年总有效57例(100%),空洞闭合率为50.00%(5/10)(P>0.05)。结论糖尿病合并肺结核两者有相互不利影响,患者应积极控制血糖,早期行抗结核治疗,能有效改善预后并预防并发症的发生。

Clinical analysis of diabetes mellitus complicated with pulmonary tuberculosis on 57cases reports

Objective To discuss the clinical features,diagnosis and treatment of diabetes mellitus complicated with pulmonary tuberculosis. Methods 57 patients with diabetes mellitus and pulmonary tuberculosis for the observation group,at the same time,57 patients with pulmonary tuberculosis only to be chosen and for the control group. Results Tatumella ptyseos darkening rate after two months of the observation group was 33 cases(76.74 percent),the control group was 28 cases(84.85 percent),there were different statistical significance(P<0.05).And Tatumella ptyseos darkening rate after two months of the observation group was 100 percent,the control group as the same(P>0.05),treated after one year the total effective of the observation group was 48 cases(84.21percent),cavity closed rate was 29.41%(10/34),the control group was 57 cases(100 percent),50 %(5/10)(P>0.05). Conclusions The diabetes mellitus complicated with pulmonary tuberculosis has the adverse effect each other,the patient should control blood sugar,control the tuberculosis early,they can ameliorate the prognosis and prevent the complication happened.