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目的 :总结糖尿病合并肺结核的临床特点 ,并探讨其临床意义。方法 :分析 5年来我科确诊的 3 2例糖尿病合并肺结核的患者临床表现、病灶范围、空洞情况、治疗效果。结果 :糖尿病合并肺结核的患者与一般肺结核患者在病灶范围 (≥ 3个个肺叶 ,χ2= 5 .96 P <0 .0 5 )、痰菌阳性率 (χ2 =17.87 P <0 .0 0 1)、空洞情况 (χ2 =7.92 P <0 .0 1)、复发率 (χ2 =7.41 P <0 .0 1)、死亡率 (χ2 =8.47 P <0 .0 1)等存在显著差异。结论 :糖尿病合并肺结核患者病灶范围广 ,临床症状严重 ,治疗时间长 ,治疗关键在于良好控制血糖。
Objective: To summarize the clinical features of diabetic patients with pulmonary tuberculosis and to explore its clinical significance. Methods: The clinical manifestations, the extent of lesions, the cavity and the treatment effect of 32 cases of diabetes mellitus complicated with pulmonary tuberculosis diagnosed in our department over the past five years were analyzed. Results: The positive rate of sputum bacterium (χ2 = 17.87 P <0.001) was significantly higher in patients with diabetes mellitus and tuberculosis than in those with pulmonary tuberculosis (≥ 3 lobes, χ2 = 5.96 P <0.05) (Χ2 = 7.92 P <0.01), the recurrence rate (χ2 = 7.41 P <0.01), and the mortality rate (χ2 = 8.47 P <0.01) were significantly different. Conclusion: The patients with diabetes complicated with pulmonary tuberculosis have a wide range of lesions, severe clinical symptoms and long treatment time. The key to treatment is to control blood sugar well.