糖尿病合并肺结核的病理生理变化研究

A Study of Pathological and Physiological Changes among Diabetes Combined with Tuberculosis Patients

目的 探讨糖尿病合并肺结核的病理生理学变化。方法 运用回顾性研究三组不同人群 :糖尿病、肺结核、糖尿病合并肺结核的临床表现 ,主要的病理生理学指标 ,疾病转归 ,并动态观察治疗前后变化。结果 糖尿病合并肺结核以 5 0～ 70岁为最多 ,女性并发比例高。两病并发时病情重 ,咯血者多 ,易合并多个系统功能的异常 ,痰菌阳性率高 (6 8.8% )。 PPD试验阳性率高达 91.3% ,免疫 Ig G和补体 C4均高。治疗效果不良。结论 对糠尿病病人要常规查胸部

Objective To explore the pathological and physiological changes among diabetes combined tuberculosis patients .Methods The clinical characteristics of the three types of patients, diabetes, tuberculosis, and diabetes combined with tuberculosis, were studied and compared by using retrospective and prospective methods. The primary pathological and physiological measures included discovery rate. The changes between the pro and post treatment periods were also studied.Results The majority diabetes combined with tuberculosis patients were between 50 and 70 years old and the most were women. When the two diseases, diabetes and tuberculosis, occurred simultaneously, the onset of the disease has shown severe symptoms including hemoptysis and abnormalities among several system functions. There was a high sputum positive rate (68.8%) and PPD positive rate reached 91.3%. Both Immunological IgG and autobody C4 were high. There was no promising treatment method for the disease.Conclusion A regular X ray check up among diabetes patients should be conducted.