92例肺结核合并糖尿病的临床分析

Clinical Analysis of 92 Cases of Pulmonary Tuberculosis with Diabetes

目的探讨肺结核合并糖尿病的临床特点。方法收集西充县结核病防治所2007—2011年确诊的92例肺结核合并糖尿病患者的临床资料进行分析。结果肺结核合并糖尿病的患者多有结核病症状,占83.7%;胸部X线检查病灶范围广,累及3个以上肺野占55.4%;痰菌阳性率高,初治菌阳占64.1%;痰菌阴转率偏低,初治菌阳6个月末阴转率85.9%。结论重视糖尿病的控制有助于改善肺结核患者的预后。对所有肺结核及糖尿病患者都应常规进行血糖和胸部X线检查。

Objective To investigate the clinical characteristics of pulmonary tuberculosis with diabetes mellitus. Methods Collected and analyzed clinical data of 92 cases of pulmonary tuberculosis patients with diabetes diagnosed in 2007-2011 in county tuberculosis prevention and treatment in Xichong. Results Most of patients with pulmonary tuberculosis with diabetes had symptoms of TB, accounting for 83.7%. Chest X-ray examination showed a wide range of lesions, that 55.4% of the patients were found that more than three lung fields were damaged. The sputum positive rate is high, for that new smear positive pulmonary tuberculo- sis patients accounted for 64.1%, while the sputum negative conversion rate is relatively low, that after treated for six months, the sputum negative conversion rate of new smear-positive cases accounted for 85.9%. Conclusion Diabetes mellitus control contributes to improve the prognosis of patients with pulmonary tuberculosis. It is necessary to do routine blood glucose examination and chest X-ray examination to all patients with Pulmonary Tuberculosis with Diabetes.