2型糖尿病合肺结核病临床特征分析

目的:探讨2型糖尿病合并肺结核病的临床特征和治疗方法。方法:采取回顾性分析23例患者的痰菌、症状、胸部病变范围、治疗等临床特点。结果:23例患者治疗3～7天后体温恢复正常,1月后痰菌均转阴,联合治疗2～3月后肺部病灶逐渐吸收。治疗后ALB34.4～43g/L;FBG6.1～8.3mmol/L;2Hbg8.1～12.8mmol/L;HbA1C5.2%～6.8%。6个月后7例患者痊愈,14例患者9个月足疗程治疗后好转。结论:2型糖尿病合并肺结核病其病势进展快,确诊后应积极进行抗结核治疗的同时需重视血糖的控制、加强营养支持。

Type 2 Diabetes Combined Analysis of Clinical Features of Tuberculosis

Objective:To evaluate type 2 diabetes and clinical features of tuberculosis treatment.Methods:Take a retrospective analysis of 23 patients in the sputum,symptoms,chest lesions,treatment and other clinical features.Results:23 patients treated for 3 to 7 days after the body temperature returned to normal after 1 month sputum were negative,the treatment of 2 to 3 months after lung lesions gradually absorbed.After treatment ALB34.4～43g/L;FBG6.1～8.3mmol/L;2Hbg 8.1～12.8mmol/L;HbA1C 5.2%～6.8%.After June 7 patients recovered,14 September,the full course of treatment patients improved after treatment.Conclusions:Tuberculosis patients with type 2 diabetes with rapid progression of their illness,diagnosis of active tuberculosis after treatment,while blood glucose control require attention,enhance nutritional support.