肺结核合并糖尿病98例临床分析

目的探讨肺结核合并糖尿病的临床特点、相互关系、诊断和治疗方法。方法回顾性分析我院2003年～2006年三年间收治肺结核合并糖尿病98例患者临床表现、影像检查方法、实验室检查结果及治疗情况。结果98例中血糖控制理想者72例(73.5%),血糖控制较理想者20例(20.4%),血糖控制不良者2例(2%),失访者4例(4%),肺结核治愈88例(90%),4例好转(4%),2例未愈(2%),失访者4例(4%)。结论肺结核合并糖尿病应积极控制血糖,早期抗结核治疗,预防并发症的发生,能较好地控制结核,改善预后。

Objective To investigate the clinical features, interrelations, diagnosis and treatment of pulmonary tuberculosis complicating diabetes. Methods The retrospective analysis has been taken on the clinical characters, photographicmethods, liboratory test results and diagnosis and treatment for. The 98 cases with pulmonary tuberculosis complicating diabetes were treated in our hospital at 2003 - 2006. Result Among all the 98 cases, there were 72 cases （73.5%） with well-controlled serum glucose, 20 cases （20.4%） were comparatively well-controlled serum glucose, and were 2 patients （2%） whose serum glucose was not controlled well. There were 4 patients （4%） were lost. And among these cases, there were 88 cases （90%） were cured from pulmonary tuberculosis, 4 patients （4%）were improved, 2 patients （2%） were not cured, and 4 patients （4%） were lost. Conclusion In Pulmonary tuberculosis complicating diabetes, to controll serum glucose positively, give early anti-tuberculosis treatment and prevent complication can control tuberculosis well and improve prognosis.