2型糖尿病合并肺部感染临床治疗方案的对比观察

Study on the effect of treatment in patients with type 2 diabetes mellitus complicated with lung infection

目的探讨不同方案治疗2型糖尿病合并肺部感染的临床效果。方法将2010年7月到2013年7月门诊治疗的30例2型糖尿病合并肺部感染的患者作为研究对象,随机分为治疗组(胰岛素注射组)16例和对照组(口服降糖药组)14例。对两组的临床治疗效果及治疗前后空腹血糖水平比较。结果治疗组的临床效果优于对照组,差异有统计学意义;在血糖控制水平上,两组均能使治疗前后空腹血糖水平下降,但治疗组更优于对照组。结论治疗2型糖尿病合并肺部感染患者,在合理选用抗生素的基础上,联合胰岛素注射治疗,能及时有效控制血糖,提高患者肺部感染的治愈率。

Objective To explore the effect of diagnosis and treatment of patients with type 2 diabetes mellitus complicated with pulmona-ry infection. Methods Thirty patients with type 2 diabetes complicated with pulmonary infection in this hospital during July 2010 to July 2013 were selected as study subjects,they were randomly divided into trial group（insulin injection group,n = 16）and control group（oral medication group,n = 14）. The clinical effect and fasting glucose levels before and after treatment were compared between these 2 groups. Results The clinical effect of trial group was better than that of control group,and the difference was statistically significant. Fasting glucose level had been de-creased after treatment in both groups,but it was more better in trial group than that of control group. Conclusion Patients with type 2 diabetes are often complicated with pulmonary infection by gram - negative bacteria,it is reasonable to choose antibiotics combined with insulin injection, thus it can timely and effectively control the blood level of glucose and raise the cure rate of lung infection in these patients.