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目的结合文献探讨糖尿病与肺结核的治疗。方法对临床67例糖尿病合并肺结核治疗分析、总结。结果对两病应采取积极的治疗,依据胰岛功能情况,尽早使用胰岛素,以标准化疗为基础,对耐药的可加用力可肺疾或氧氟沙星。强化期痰菌阴转率83.5%。结论糖尿病已成为全球性的保健问题,糖尿病发病率呈增长趋势。糖尿病是结核病的易感者,两病并存时肺结核的化疗疗效取决于糖尿病控制的情况。糖尿病稳定,空腹血糖控制在8.3以下者,结核病疗效较好,与单纯的肺结核化疗疗效相似。
Objective To explore the treatment of diabetes and tuberculosis with literature. Methods Clinical analysis of 67 cases of diabetes mellitus combined with tuberculosis, summary. The results of the two diseases should be taken active treatment, according to pancreatic islet function, as soon as possible the use of insulin, based on standard chemotherapy, the drug resistance can be added force lung disease or ofloxacin. Intensification sputum negative conversion rate of 83.5%. Conclusion Diabetes has become a global health problem, and the incidence of diabetes shows an increasing trend. Diabetes is a susceptible to tuberculosis, tuberculosis when the two diseases coexist depends on the effectiveness of chemotherapy control of diabetes. Stable diabetes, fasting blood glucose control in 8.3 or less, better efficacy of tuberculosis, and simple tuberculosis chemotherapy similar efficacy.