中西医结合治疗糖尿病患者肺部感染的临床疗效

Clinical effect of integrated Chinese and western medicine on treatment of diabetes mellitus complicated with pulmonary infections

目的探讨中西医结合治疗糖尿病合并肺部感染的临床疗效,为临床治疗提供参考。方法选取医院2008年1月-2012年10月收治的糖尿病合并肺部感染的66例患者作为临床研究对象,随机分成治疗组与对照组,各33例;治疗组采取中西医结合治疗,对照组仅使用西药治疗,比较两组患者治疗后的临床疗效。结果治疗组患者的显效率、有效率分别为75.76%、24.24%,高于对照组的27.27%、27.27%,两组间差异有统计学意义(P<0.01);治疗组在治疗2周与4周后,治疗有效率分别为81.81%、100.00%,明显高于对照组的48.48%、66.67%,两组疗效差异有统计学意义(P<0.05);两组患者经不同的治疗方式治疗后,治疗组咳嗽、咳痰及其他伴随症状的发生率分别为12.12%、9.09%、0,对照组分别为33.33%、45.45%、45.45%,两组差异有统计学意义(P<0.05)。结论采取中西医结合治疗糖尿病合并肺部感染疗效明显,对临床治疗有积极作用且无明显不良反应。

OBJECTIVE To explore the clinical effect of the integrated Chinese and western medicine on the treatment of diabetes mellitus complicated with pulmonary infections so as to guide the clinical treatment.METHODS A total of 66diabetes mellitus patients complicated with pulmonary infections,who were received the treatment in the hospital from Jan 2008to Oct 2012,were enrolled in the study and randomly divided into the treatment group and the control group with 33cases in each;the treatment group was treated with the integrated Chinese and western medicine,while the control group was treated only with the western medicine,then the therapeutic effect was compared between the two groups after the treatment.RESULTS The efficiency and the effective rate of the treatment were respectively 75.76%and 24.24%,higher than 27.27% and 27.27% of the control group,the difference between the two groups was statistically significant;the effective rate two weeks after the treatment was 81.81%in the observation group,significantly higher than 48.48% of the control group;the effective rate four weeks after the treatment was 100.00% in the treatment group,significantly higher than 66.67% of the control group,the difference in the clinical efficacy between the two groups was statistically significant（P〈0.05）.After the treatment with different approaches,the incidence rates of cough,expectoration,and other complications of the treatment group were respectively 12.12%,9.09%,and 0,lower than 33.33%,45.45%,and 45.45%of the control group,the difference was statistically significant（P〈0.05）.CONCLUSION The integrated Chinese and western medicine can achieve significant effect on treatment of diabetes mellitus complicated with pulmonary infections,it has a positive impact on clinical therapy,without producing obvious adverse reactions.