探讨肺结核合并糖尿病患者治疗的临床疗效

To explore the clinical effect of treatment of pulmonary tuberculosis with diabetes mellitus

目的 研究并探讨肺结核合并糖尿病患者治疗的临床治疗效果。方法 选取我院2013年1月~2014年8月收治的100例肺结核合并糖尿病患者作为研究对象,遵循随机分配的原则,将这100例患者分为对照组50例和观察组50例。对照组患者进行常规治疗,观察组患者进行有针对性的治疗。对照组患者和观察组患者均进行为期6个月的治疗。治疗结束后,对比观察对照组患者和观察组患者的血糖控制情况、肺结核治疗效果。结果 对照组患者的血糖控制优良率为84%,观察组患者的血糖控制优良率为96%,观察组患者的血糖控制情况更加显著（P〈0.05）。对照组患者的肺结核治疗总有效率为80%,观察组患者的肺结核治疗总有效率为94%,观察组患者的肺结核治疗效果明显优于对照组（P〈0.05）。结论 根据肺结核合并糖尿病患者的具体病情,对肺结核合并糖尿病患者进行有针对性的治疗,能够提高患者的血糖控制效果,提高肺结核的治疗效果,促进痰菌培养转阴性,使病变范围有效缩小,使肺部病变区的空洞有效消失,有利于患者预后的改善。

Objective To study and evaluate the clinical therapeutic effect of the treatment of pulmonary tuberculosis complicated with diabetes. Methods In our hospital from 2013 January to August there were 100 cases of pulmonary tuberculosis complicated with diabetes mellitus patients.The 100 cases of patients were divided into control group （n=50） and observation group （n=50）. The control group was treated with routine treatment, the observation group was treated with targeted therapy. Patients in the control group and the observation group were treated for 6 months. After the end of treatment,two groups of patients were observed with blood glucose control and treatment outcome of pulmonary tuberculosis. Results The blood glucose control of excellent and good rates were 84% in control group and that were 96% in observation group.The later were better （P〈0.05）. Control rate of pulmonary tuberculosis were 80% in control group,and that of the observation group were 94%. Conclusion According to the specific condition of patients with pulmonary tuberculosis complicated with diabetes, these treatments can improve glycose control effect, and improve the therapeutic effect of pulmonary tuberculosis. It is beneficial to improve the prognosis of the patients.