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目的:了解老年糖尿病合并肺结核的临床特点。方法:对52例老年与35例非老年糖尿病合并肺结核患者进行临床对照分析。结果:老年组在先患糖尿病后发现肺结核;重度肺结核;并发冠心病、高血压病、糖尿病肾病、视网膜病变;使用胰岛素加口服降糖药治疗方案方面均显著高于非老年组(P<0.05)。结论:老年糖尿病合并肺结核患者,易患空洞,病情严重,常需使用胰岛素治疗,病死率高,应注意早期发现,积极治疗,防止并发症的发生。
Objective: To understand the clinical features of elderly diabetic patients with pulmonary tuberculosis. Methods: 52 elderly patients and 35 non-elderly patients with diabetes mellitus were enrolled in this study. Results: In the elderly group, pulmonary tuberculosis was found in the patients with diabetes mellitus; severe pulmonary tuberculosis; complicated with coronary heart disease, hypertension, diabetic nephropathy and retinopathy; and insulin and oral hypoglycemic agents were significantly higher than those in the non-elderly group (P <0.05 ). Conclusion: Elderly diabetic patients with pulmonary tuberculosis, susceptible to empty, serious condition, often requiring insulin treatment, high mortality, should pay attention to early detection, active treatment to prevent complications.