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目的探讨社区获得性肺炎合并2型糖尿病患者的临床特点。方法选取2013年1月至2015年1月社区医院所收治的90例获得性肺炎患者为研究对象,其中45例未合并2型糖尿病作为A组,另45例合并2型糖尿病作为B组。检测两组患者的空腹血糖水平、真菌及革兰阴性杆菌感染情况、血红蛋白及血清清蛋白水平。结果 B组患者空腹血糖为(8.9±0.3)mmol/L,明显高于A组的(6.3±0.5)mmol/L,差异有统计学意义(P<0.05);B组患者的混合感染率明显高于A组,真菌、革兰阴性杆菌感染率均明显低于A组,差异均有统计学意义(均P<0.05);B组患者血红蛋白、血清清蛋白下降率均明显高于A组,差异均有统计学意义(均P<0.05)。结论社区获得性肺炎合并2型糖尿病患者病情较重,混合感染率高,营养状况较差,临床需尽快控制患者的血糖水平,合理应用抗生素,积极进行营养支持。
Objective To explore the clinical characteristics of community-acquired pneumonia complicated with type 2 diabetes. Methods Totally 90 patients with acquired pneumonia admitted from the community hospital from January 2013 to January 2015 were selected as the study group. Among them, 45 patients did not have type 2 diabetes mellitus as group A, and 45 patients with type 2 diabetes mellitus as group B. Fasting blood glucose levels, fungal and gram-negative bacilli infections, hemoglobin and serum albumin levels were measured in both groups. Results The fasting blood glucose in group B was (8.9 ± 0.3) mmol / L, which was significantly higher than that in group A (6.3 ± 0.5) mmol / L, the difference was statistically significant (P <0.05) The infection rates of fungi and Gram-negative bacilli in group A were significantly lower than those in group A (all P <0.05). The decrease rates of hemoglobin and serum albumin in group B were significantly higher than those in group A, The differences were statistically significant (all P <0.05). Conclusions Community-acquired pneumonia complicated with type 2 diabetes is more serious with high infection rate and poor nutritional status. It is necessary to control the blood sugar level of patients as soon as possible. The rational use of antibiotics and active support of nutrition should be taken.