老年2型糖尿病患者合并肺炎的临床分析

Clinical Analysis of Diabetes Mellitus Complicating with Pneumonia in Old People.

目的探讨老年2型糖尿病患者合并肺炎的临床特点,以提高诊断和治疗水平。方法采用回顾性分析的方法。老年2型糖尿病患者并肺炎28例;老年非糖尿病肺炎患者34例。比较两组的呼吸道症状、体温、血象、X线胸片特点、病原学特点、用药情况及病程等指标。结果两组用药情况、病程差异有统计学意义(P<0.05),但呼吸道症状、体温、胸片特点、血象、病原学特点的比较差异无显著性。结论老年2型糖尿病患者合并肺炎需严格控制血糖,联合应用广谱抗生素,且病程长、预后差。

Objective To investigate the clinical features of diabetes mellitus complicating with pneumonia in old people, and to improve the diagnose and treatment tactics. Methods In this retrospective analysis, the symptom of respiratory tract, body temperature, hemogram, radiologic characteristics, etiologic characteristics, the use of antibiotic and the course of disease of 30 old patients T2DM complicated by pneumonia and 34 the aged with pneumonia were compared. Results There were statistically significant differences in the use of drug and the course of disease among the two intervention groups. By contrast, the incidence of the symptom of respiratory tract, body temperature, hemogram, main etiologic agents, and the radiologic characteristics , such as empyema did not show significant differences in this investigation. Conclusions The keys to treating diabetes mellitus complicated by pneumonia are the severe control of blood glucose, application of two or more than two effective antibiotics. And the former, s course is longer.