老年2型糖尿病患者肺部感染临床特点分析

Clinical characteristics of senile patients with type 2 diabetes mellitus complicated by pulmonary infections

目的探讨老年2型糖尿病合并肺部感染患者临床特点及发病因素,为糖尿病合并肺部感染的治疗提供依据。方法对106例老年2型糖尿病合并肺部感染的患者进行回顾性研究。结果 106例老年2型糖尿病合并肺部感染的患者中,91例治愈出院,15例死亡,病死率为14.2%;血糖控制较好的患者,治疗效果显著;引起肺部感染的病原菌主要有肺炎链球菌、肺炎克雷伯菌、金黄色葡萄球菌等。结论积极控制血糖、根据病原菌培养结果及药敏试验合理使用抗菌药物、预防治疗并发症、保护重要脏器功能、改善营养状况是老年2型糖尿病患者合并肺部感染的有效治疗措施。

OBJECTIVE To investigate and study the clinical characteristics,causes of disease and the key point of treatment for the senile patients with type 2diabetes mellitus complicated by pulmonary infections so as to guide the treatment of the diabetes mellitus complicated by pulmonary infections.METHODS A retrospective study was performed on 106cases of senile patients with type 2diabetes mellitus complicated by pulmonary infections.RESULTS Of totally 106cases of senile patients with type 2diabetes mellitus complicated by pulmonary infections,91cases were cured and discharged,15cases died,with the mortality rate of 14.2%.The patients with good controlled blood glucose had a better treatment effect and a lower mortality.The main pathogenic bacteria causing the pulmonary infections included the Streptococcus pneumoniae,Klebsiella pneumoniae,and Staphylococcus aureus.CONCLUSIONControlling blood glucose actively,reasonably using antibiotics based on the result of the bacterial culture and the drug susceptibility testing,preventing and treating the complications,protecting the function of important viscera,and improving the nutritional status are the effective treatment measures for the senile patients with type 2diabetes mellitus complicated by pulmonary infections.