肺结核合并糖尿病的治疗分析

The treatment of pulmonary tuberculosis with diabetes

目的分析肺结核合并糖尿病的治疗特点与疗效。方法选取我院收治的肺结核合并糖尿病患者60例,对其予以抗结核治疗以及糖尿病治疗。结果空腹血糖水平为轻度异常的患者,其痰菌转阴率,空洞闭合率以及病灶吸收明显高于空腹血糖水平为明显异常的患者(P<0.01)。不同血糖控制情况其治疗效果也有明显差异(P<0.05)。结论血糖水平明显异常的患者其治疗效果较血糖水平为轻度异常的患者差,血糖控制情况与肺结核的治疗效果息息相关。

Objective Analysis the treatment feature and effective of pulmonary tuberculosis with diabetes. Methods 60 cases patients with plumonary tuberculosis with diabetes wcrc chooscd m our hospital, then treated with antitubcrculosis therapy and diabetes treatment. Results The sputum negative conversion rate, cavity close up rate and foci absorption rate of patients with high fasting plasma glucose were significantly higher than the patients with low fasting plasma glucose （P〈0.01）. The therapeutic effect was significantly different with the different blood sugar control situation （P〈0.05）. Conclusion Poor treatment of high fasting plasma glucose compared with low fasting piasma glucose, glycemic control is closely related to pulmonary tuberculosis treatment.