老年人2型糖尿病合并肺结核93例临床分析

Clinical analysis of 93 elderly patients with type H diabetes mellitus and pulmonary tuberculosis

目的了解2型糖尿病合并肺结核的临床特征及其临床治疗效果。方法治疗组93例2型糖尿病合并肺结核老年患者，对照组50例单纯肺结核老年患者，比较分析两组的临床治疗情况。结果根据治疗后的指标检测将治疗组分成三组：控制理想组29例，控制尚可组41例，控制差组23例。控制差组患者的肺结核病灶吸收好转率、空洞缩小率、肺结核痰菌培养阴转率与对照组差异均有统计学意义（均P〈0．01）。控制理想组、控制尚可组老年患者的肺结核病灶吸收好转率、空洞缩小率、肺结核痰菌培养阴转率与控制差组差异均有统计学意义（P〈0．05或P〈0．01）。结论2型糖尿病合并肺结核老年患者的治疗效果与其糖尿病控制程度有相关性，较稳定地控制血糖可促进肺结核的抗痨治疗。

Objective To find the the clinical characteristics and clinical outcomes of Type II diabetic patients with tuberculosis. Methods Treatment group was included 93 elderly type Ⅱ diabetic patients with tuberculosis ; control group was included 50 of elderly patients with simple tuberculosis patients ; and the clinical treatments were compared and analyzed. Results According to the index after the treatment, the treatment group was divided into three groups ： good control group of 29 cases, ordinary control group of 41 cases, poor control group of 23 cases. The tuberculosis lesions improved absorption rate, the voids reduce rate, the sputum conversion rate of poor control group were significant different from control group （P 〈 0.01 ）. The tuberculosis lesions improved absorption rate, the voids reduce rate, the sputum conversion rate of good control group and ordinary control group were significant different from poor control group（ P 〈 0.05 or P 〈 0.01 ）. Conclusion The treatment of type Ⅱ diabetic patients with pulmonary tuberculosis in elderly patients is associated with the degree of diabetes control ; more stable control of blood sugar can promote tuberculosis anti-tuberculosis treatment.