糖化血红蛋白值对肺结核合并糖尿病愈后的影响

Impact of glycosylated hemoglobin values after recovering from tuberculosis and diabetes

目的：探讨糖化血红蛋白（HbA1C）值对肺结核合并糖尿病患者愈后的影响。方法统计、分析我院2011年1月～2012年12月肺结核合并糖尿病患者260例的临床症状、X线或胸部CT结核病灶吸收情况。结果糖化血红蛋白值控制良好患者的临床症状改善、病灶吸收情况良好，总有效率为97.87%，控制不良者总有效率76.19%，差异有统计学意义（x2=7.12,P＜0.01）。结论肺结核愈后与糖化血红蛋白控制值密切相关，只有积极控制糖化血红蛋白才能有效的抗结核治疗。

Objective To analyze the impact of glycosylated hemoglobin （HbA1c） values after recovering from tuberculosis and diabetes.Methods260 cases＇clinical symptoms, X-ray or chest CT absorption tuberculosis in our hospital from January 2011 to December 2012 were counted and analyzed.Results Glycated hemoglobin values were well controlled,clinical symptoms were improved ,foci were in good condition, the total efficiency was 97.87%,the total efficiency of poor control was 76.19%, the difference had statistically significant（x2=7.12,P〈0.01）.Conclusion Tuberculosis prognosis was closely related to the control of glycosylated hemoglobin value,it can be effective anti-TB treatment only by actively controlling the glycated hemoglobin.