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糖尿病合并社区获得性肺炎患者免疫学特征与临床分析
引用本文:姚建华,李威. 糖尿病合并社区获得性肺炎患者免疫学特征与临床分析[J]. 湖北民族学院学报(医学版 ), 2010, 27(3): 25-26,29
作者姓名:姚建华  李威
作者单位:苏州市相城区黄埭卫生院内科,江苏,苏州,215001;南京医科大学附属苏州医院呼吸内科,江苏,南京,215001
摘    要:目的探讨2型糖尿病合并社区获得性肺炎患者的临床特点,以提高诊断和治疗水平。方法 78例社区获得性肺炎患者随机分成合并2型糖尿病患者48例(糖尿病组),未合并糖尿病患者30例(非糖尿病组)。比较两组的呼吸道症状、体温、血常规、T细胞亚群、影像学特点、病原学特点、病程等指标。结果糖尿病组呼吸道症状的发生率明显低于非糖尿病组,但是血象、胸片特点、病原学特点的比较差异无显著性。糖尿病组T细胞亚群CD4,CD4/CD8的比值明显低于非糖尿病组。两组患者治疗病程时间上差异有统计学意义(P〈0.05),糖尿病组住院治疗时间较非糖尿病组明显延长。结论糖尿病合并社区获得性肺炎患者呼吸道临床表现不典型,免疫力低下,病情危重。

关 键 词:2型糖尿病  社区获得性肺炎  免疫功能

Immunologic Characteristics and Clinical Analysis of Diabetic Patients with Community Acquired Pneumonia
YAO Jian-hua,LI Wei. Immunologic Characteristics and Clinical Analysis of Diabetic Patients with Community Acquired Pneumonia[J]. Journal of Hubei Institute For Nationalities(Medical Edition), 2010, 27(3): 25-26,29
Authors:YAO Jian-hua  LI Wei
Affiliation:YAO Jian-hua1,LI Wei2(1.Medical Department,Huangdai Hospital of Xiangchen District,Suzhou 215001,China,2.Department of Respiratory Medicine,Affiliated Suzhou Hospital of Nanjing Medical University,China)
Abstract:Objective To investigate the immune function and clinical features of diabetic patients with community acquired pneumonia so as to improve the diagnosis and treatment.Methods 78 patients of pneumonia were divided into two groups: diabetic group has 48 patients of pneumonia with diabetes,non-diabetic group has 30 patients of pneumonia without diabetes.The symptom of respiratory tract,hemogram,radiologic characteristics,etiologic characteristics,the level of CD4,CD8 of the peripheral blood were observed and a...
Keywords:type 2 diabetes  community acquired pneumonia  immune function  
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