2型糖尿病合并败血症81例临床分析

Clinical analysis of 81 cases of type 2 Diabetes mellitus with septicemia

目的:探讨2型糖尿病并发败血症患者的临床特点,以提高诊治水平。方法:败血症合并糖尿病组81例,无合并糖尿病组78例,比较两组间的病原菌特点,感染途径,预后和转归,治疗时间和费用。结果:与无糖尿病组比较,合并2型糖尿病的败血症患者革兰阴性菌感染例数、病情重者例数较多,感染性休克的发生率更高,住院时间更长,住院费用更多,未愈和病死率更高(均为P<0.05)。结论:合并糖尿病的败血症患者以革兰阴性菌感染为主,病情重,应及早选用针对性强的抗生素治疗及行对症治疗。

Objective ： To explore the clinical features of septicemia in patients with Type 2 Diabetes mellitus Methods： 81 cases of septicemic patients with type 2 Diabetic and 78 patients without diabetes were retrospectively analyzed. The pathogens, primary infection site, prognosis, duration of therapy, and treatment costs were ana- lysed. Results： Compared with non-diabetic patients, patients with DM had higher rate of Gram-negative bactere- mia, mortality, incidence of septic shock and treatment costs, longer time for therapy. Conclusion： The main pathogen in septicemia patients with type 2 diabetes mellitus were Gram-negative bactia, with serious symptoms. Early diagnosis and promptly sufficient antibiotic treatment is very important in those patients.