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目的:探讨血糖控制与食疗在糖尿病合并肺结核患者治疗中的应用价值,总结治疗经验。方法:选取收治血糖控制不佳的糖尿病合并肺结核患者54例,应用糖尿病与抗结核基础治疗,同时制定落实严格的食疗方法,注重宣教,配合家属完成监督与自我管理,落实食疗方案。结果:治疗后,患者FBG、2hFBG、HbA1c水平分别为(6.8±1.2)mmol/L、(7.0±1.1)mmol/L、(6.7±1.3)%低于治疗前(9.1±1.1)mmol/L、(14.3±2.3)mmol/L、(8.9±1.3)%,差异具有统计学意义(P<0.05);血糖控制控制率、一般控制率、不良控制率分别为59.26%、33.33%、7.41%与肺结核疗效55.56%、33.33%、11.11%,Kappa检验系数0.95。结论:制定落实严格的食疗控制方案,配合糖尿病与抗结核基础治疗,收效较好;肺结核疗效与血糖控制水平密切相关。
Objective: To investigate the value of glycemic control and diet in the treatment of patients with diabetes complicated with pulmonary tuberculosis and to summarize the experience of treatment. Methods: Fifty-four patients with diabetes mellitus and tuberculosis who had undergone poorly controlled blood glucose control were enrolled in the study. Diabetes and anti-tuberculosis therapy were used. At the same time, strict diet treatment was formulated, mission-oriented education was implemented, and family members completed supervision and self-management. Results: After treatment, the levels of FBG, 2hFBG and HbA1c were (6.8 ± 1.2) mmol / L, (7.0 ± 1.1) mmol / L and 6.7 ± 1.3% , (14.3 ± 2.3) mmol / L and (8.9 ± 1.3)%, respectively, with statistical significance (P <0.05). The control rates of glycemic control, general control and poor control were 59.26%, 33.33% and 7.41% 55.56%, 33.33%, 11.11%, and Kappa test coefficient of 0.95 for tuberculosis. Conclusion: The formulation of a strict diet control program, with diabetes and anti-TB treatment, better effect; tuberculosis efficacy and blood glucose levels are closely related.