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目的探讨慢性阻塞性肺疾病合并糖尿病的临床诊断及治疗效果。方法抽取2013年1月至2015年1月间来我院诊治的慢性阻塞性肺疾病合并糖尿病患者320例,随机平均分为两组,在给予常规治疗的基础上,对照组由患者自行服用降糖药物,观察组则给予规范化应用降糖药和(或)使用胰岛素治疗并严格控制饮食,而对比分析两组患者的治疗效果。结果观察组和对照组的治疗总有效率分别为92.5%和58.1%;观察组和对照组治疗后空腹血糖达标率分别为95.6%和63.1%;观察组治疗后动脉血气及肺功能明显优于对照组。结论慢性阻塞性肺疾病合并糖尿病时两种病变可互相影响,其治疗效果、预后与血糖的控制有着密切的关系,治疗过程中只有兼顾两种病,采取综合治疗手段才能有效提高治疗效果,改善患者的生活质量。
Objective To investigate the clinical diagnosis and treatment of chronic obstructive pulmonary disease with diabetes mellitus. Methods A total of 320 chronic obstructive pulmonary disease patients with diabetes mellitus who were diagnosed and treated in our hospital from January 2013 to January 2015 were randomly divided into two groups. On the basis of routine treatment, the patients in the control group were treated by themselves Sugar drugs, the observation group was given standardized application of hypoglycemic agents and (or) the use of insulin therapy and strict diet, and comparative analysis of the treatment effect of two groups of patients. Results The total effective rates of observation group and control group were 92.5% and 58.1%, respectively. The compliance rates of fasting blood glucose in observation group and control group were 95.6% and 63.1% respectively. The arterial blood gas and pulmonary function in observation group and control group were significantly better than those in control group Control group. Conclusion Both COPD and COPD can affect each other in patients with chronic obstructive pulmonary disease. The therapeutic effect and prognosis are closely related to the control of blood glucose. Only two kinds of diseases can be considered in the course of treatment. Comprehensive treatment can effectively improve the therapeutic effect and improve Quality of life of patients.