糖尿病并发肺结核患者的临床特点及防治对策

目的探讨糖尿病并发肺结核患者的临床特点及防治对策。方法回顾性调查了1988年～1998年收治的肺结核患者1063例 ,糖尿病患者801例 ,其中二病合并者30例 ,运用U检验揭示糖尿病肺结核患者与单纯肺结核患者的差别及其合理的治疗方法。结果糖尿病肺结核患者的痰菌阳性率、治疗失败率及空洞率均显著高于单纯肺结核患者(P<0.05) ,其治疗原则为早期有效控制糖尿病 ,同时施以合理的抗结核治疗。结论糖尿病肺结核患者具有痰菌阳性率高、传染性强、治疗失败率高的特点 ,是结核病的重要传染源 ,早期发现、合理治疗对结核病疫情控制方面有重要意义

The clinical characteristics of diabetes mellitus complicated with pulmonary tuberculosis patients and preventive therapeutic measures

Objective To inquire the clinical characteristics, preventive and therapeutic measures of the patients who have had diabetes mellitus(DM) complicated with pulmonary tuberculosis(PT). Methods The admitted 1 063 PT cases and 801 DM cases from 1988 to 1998 were investigated retrospectively, among them 30 cases had both PT and DM. To understand the differences between DM with PT patients and simple PT patients by using U test and its reasonable therapeutic method. Results The bacillary positive rate, defeated-rate and rate of cavity were significantly higher in DM with PT patients than that in the simple PT patients(P<0.05), but the complication rate of pleurisy and other out-pulmonary tuberculosis was of no difference between them(P>0.05). The therapeutic principle is to control DM effectively as early as possible, in the meantime, to give reasonable anti-TB treatment. Conclusion To compare with the simple TB patients, DM with PT patients are higher in bacillary positive rate, defeated-rate and contagiocs opportunity, they are the important sources of infection. It is significant to find early and give reasonable treatments in the control of the tuberculous epidemic situation.