论文部分内容阅读
目的:探讨肺结核合并糖尿病的临床特点及治疗。方法:选取本中心2012年5月到2013年5月时段20例肺结核合并糖尿病患者为A组。选取同一时段单纯肺结核患者20例为B组,治疗均使用全程督导化学治疗。使用同一抗痨方案,比较两组的临床症状,胸部X线,实验室检查及不同血糖控制下的治疗效果。结果:①A组较B组的症状,肺部X线表现更为典型,菌阳率更高②控制血糖的B组病人,近期疗效接近单纯肺结核组。结论:肺结核合并糖尿病应在严格控制血糖水平的同时抗痨治疗,才能取得良好的治疗效果,控制肺结核的传播。
Objective: To investigate the clinical features and treatment of pulmonary tuberculosis complicated with diabetes. Methods: A total of 20 patients with pulmonary tuberculosis complicated with diabetes mellitus were selected as group A from May 2012 to May 2013 in our center. Select the same period of simple pulmonary tuberculosis in 20 patients for the B group, the treatment is the use of full supervision of chemotherapy. The same anti-tuberculosis program was used to compare the clinical symptoms, chest X-ray, laboratory tests and therapeutic effects under different glycemic control. Results: (1) The symptoms of group A were more typical than those of group B, and the characteristic of pulmonary X-ray was more typical and had a higher positive rate of bacteria. (2) The curative effect of Group B patients with blood glucose control was close to that of simple pulmonary tuberculosis group. Conclusion: Pulmonary tuberculosis complicated with diabetes should be treated with anti-tuberculosis treatment with strict control of blood glucose level in order to obtain good therapeutic effect and control the spread of pulmonary tuberculosis.