糖尿病合并肺结核47例的临床特点及效果观察

Clinical characteristics and effect observation of 47 cases of patients with diabetes combined with pulmonary tuberculosis

目的：分析47例糖尿病合并肺结核的临床特点及治疗效果.方法：选取山东省菏泽市牡丹区疾病预防控制中心2013-02/2015-01收治的94例肺结核患者作为研究对象,根据病情种类的不同,将其分为对照组（n=47）及研究组（n=47）,对照组为单纯的肺结核患者,研究组为糖尿病合并肺结核患者,对其临床资料进行回顾性分析,总结糖尿病合并肺结核的临床特点,并采取相应的措施进行治疗.结果：糖尿病合并肺结核患者发热、无症状以及痰检为阳性的例数明显多于单纯肺结核患者,胸痛、咳嗽、咳血以及气促的比例则少于单纯肺结核患者,差异具有统计学意义（P〈0.05）.治疗后,患者的血糖均得到了有效控制,其中40例患者的血糖控制在4.0-6.5 mmol/L,7例患者的血糖〉11.2 mmol/L.与此同时,咳嗽、咳血、胸闷、发热等临床症状均得到了有效缓解.结论：糖尿病与肺结核相互影响,并且其对肺结核的发病有着明显的影响,因此糖尿病患者应及时进行治疗,积极控制病情,养成健康的生活习惯,降低肺结核的发病率.

AIM： To analyze the clinical characteristics and effect of 47 cases of patients with diabetes combined with pulmonary tuberculosis. METHODS： A total of 94 cases of patients with pulmonary tuberculosis admitted into Centers for Disease Control and Prevention of Mudan District in Heze from February 2013 to January 2015 were selected as objects of the study and divided into control group（ simple pulmonary tuberculosis patients）and study group（ diabetes combined with pulmonary tuberculosis）according totypeofthe illness,and each group had 47 cases of patients. The clinical data were analyzed retrospectively to summarize the clinical characteristics of diabetes combined with pulmonary tuberculosisand take corresponding measures. RESULTS：The number of fever,no symptoms and smear-positivein diabetes combined with pulmonary tuberculosis patients was significantly more than that of simple pulmonary tuberculosis patients,while the number of chest pain,cough,hemoptysis and shortness of breath in diabetes combined with pulmonary tuberculosispatients was less than simple pulmonary tuberculosis patients,and the difference was statistically significant（ P〈0.05）. At the end of the treatment,blood glucose of patients was effectively controlled with4.0 to 6.5 mmol / L of 40 patients and more than 11.2mmol / L of 7 patients. At the same time,cough,hemoptysis,chest stufly,fever and other clinical symptoms was effectively alleviated. CONCLUSION： There is an interaction effect between pulmonary tuberculosis and diabetes,and the incidence of pulmonary tuberculosis is obviously affected by this relation. Therefore diabetics should receivetimely treatment,actively control the disease and develop healthy life habits to reduce the incidence of pulmonary tuberculosis.