论文部分内容阅读
目的探讨肺结核合并糖尿病患者血糖控制对疾病治疗的影响。方法 2 6 2例均采用2 E H R Z(S)/4 H R,观察组1 3 6例菌阳肺结核并发糖尿病患者均采用口服降糖药和胰岛素控制血糖,根据血糖控制情况分为1组血糖控制理想组,2组血糖控制不良组与对照组1 2 6例单纯无合并症的菌阳肺结核患者作对照,观察3组的治疗效果。结果经过6个月的治疗对照组痰菌阴转率明显高于2组,差异有统计学意义(P<0.05),1组与对照组比较痰菌阴转率差异无统计学意义(P>0.05)。空洞闭合、X线吸收情况1组与对照组差异无统计学意义(P>0.05),2组与对照组差异有统计学意义(P<0.05)。结论肺结核与糖尿病两种疾病并存时,其相互作用,相互影响,会加重病情,影响预后,只有在早期积极控制血糖,使血糖平稳同时予以抗结核的双重治疗才能有明显的治疗效果。
Objective To investigate the effect of glycemic control on the treatment of pulmonary tuberculosis complicated with diabetes. Methods262 cases were used 2 EHRZ (S) / 4 HR, the observation group of 136 cases of bacteria with positive pulmonary tuberculosis complicated by diabetes were oral hypoglycemic agents and insulin blood sugar, according to the control of blood glucose into one group of glycemic control ideal Group, two groups of poor blood sugar control group and the control group of 126 cases of pure non-comorbid bacteria positive pulmonary tuberculosis patients as a control group to observe the treatment effect. Results After 6 months of treatment, the sputum negative conversion rate was significantly higher in the control group than in the 2 groups (P <0.05). There was no significant difference in the sputum negative conversion rate between the 1 group and the control group (P> 0.05). There were no significant differences between the two groups (P> 0.05). There was a significant difference between the two groups and the control group (P <0.05). Conclusions When the two diseases of tuberculosis and diabetes co-exist, the interaction and mutual influence will aggravate the disease and affect the prognosis. Only in the early active control of blood glucose, stable blood glucose can be treated with anti-tuberculosis dual therapy in order to have obvious therapeutic effect.