摘要
目的:探讨糖尿病合并肺结核病例的临床特点及分析其两病并发的危险因素,给判断预后、制定相应方案及是否采取干预措施进行预防本病发生提供参考。方法:对139例诊断为糖尿病合并肺结核患者临床资料进行分析总结。结果:糖尿病合并肺结核临床症状明显,病变广泛,易形成空洞,易延误诊断,平均血糖控制良好者痰菌转阴率及病灶吸收率高于血糖控制不良者。本组病例中血糖控制差、社会经济地位低、长期心理压力大、不良生活习惯等风险因素突出。结论:糖尿病合并肺结核比例较高,两病同时治疗,积极控制血糖,针对高风险群体应予社会关注。
Objective：To explore clinical features and risk factors of diabetes mellitus（DM） complicated pulmonary tuberculosis（TB）,and provide some evidence for determining prognosis,formulating corre-sponding program and taking some measures to prevent it.Method：Clinical data of 139 cases of DM withTB was analyzed and summarized.Result：DM with TB patients had more obvious clinical symptoms,exten-sive pathological changes and were prone to develop cavities diagnosed late.If their blood glucose was wellcontrolled,the negative rate of smear of sputum and pathological absorption rate was higher.The cases werefeatured by poor blood glucose,lower social economy status,long psychological pressure,bad habits and soon.Conclusion：The rate of DM with TB is high,and they are needed to cure at the same time.It is muchbetter to control blood glucose well.The colony with higher risk needs more social care.
出处
《河北医学》
CAS
2011年第10期1332-1335,共4页
Hebei Medicine
关键词
糖尿病
肺结核
临床特点
危险因素
Diabetes mellitus
Pulmonary tuberculosis
Clinical features
Risk factors
