老年初治肺结核并糖尿病63例临床分析

目的　提高对老年糖尿病肺结核的认识,争取早发现、早治疗。方法 对4年间63例老年糖尿病肺结核病例进行临床分析。结果 63例患者中,血糖控制在7.9～11.1mmol/L57例,其中肺结核病灶吸收好转51例,痰菌1月阴转30例,2月阴转21例,3月阴转6例;6例血糖控制不理想>11.1mmol/L,其中仅1例病灶吸收好转,痰菌3月阴转3例,3月至半年阴转3例。结论 积极控制血糖,使血糖控制在7.9～11.1mmol/L,合理的抗结核治疗对控制老年糖尿病肺结核亦起重要的作用。

The clinic analysis on 63 elder pulmonary tuberculosis cases combined with diabetes

Objective To improve the awareness of elder pulm on ary tuberculosis combined with diabetes for detecting and treating at the early stage.Methods To make clinic analysis on 63 pulmonary tuberculosis co mbined with diabetes in 4 years.Results Among the 63 patients,blood sugar leve l of 57 cases had been controlled from 7.9 to 11.1 mmol/L.Among the 57 cases,the tuberculosis focus of 51 cases turned to be absorbed;the somear negative conver sion results were available in 30,21,6 cases at the end of first,second and thir d months of the treatments.The blood sugar level of 6 cases had not been control led satisfactorily and higher than 11.1 mmol/L.Among the 6 cases,the tuberculosi s focus of only 1 cases turned to be absorbed;the smear negative conversion resu lts were available in 3,3cases at the end of third months and 3-6 months of the treatments.Conclusion To control the blood sugar level from 7.9 to 11.1 mm ol/L through the treatment of diabetes is the key factor to cure elder pulmonary tuberculosis cases combined withdiabetes.