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目的:回顾分析老年糖尿病并发社区获得性肺炎(CAP)的病情特点,探讨防治措施。方法:将老年糖尿病并发CAP79例按照糖化血红蛋白(HbA1c)不同水平分层,进行等级相关分析,以及痰细菌学检查和耐药分析。结果:老年糖尿病并发CAP与HbA1c水平呈正相关。痰细菌培养阳性67株。肺炎链球菌检出率最高,其次为肺炎克雷伯杆菌和流感嗜血杆菌。结论:积极控制血糖,定期检测HbA1c对防治老年糖尿病并发CAP有积极意义。
Objective: To retrospectively analyze the characteristics of senile diabetes complicated with community acquired pneumonia (CAP) and discuss the prevention and treatment measures. Methods: The elderly patients with diabetes mellitus and CAP79 were stratified according to the different levels of HbA1c, and the grade correlation analysis, sputum bacteriological examination and drug resistance analysis were performed. Results: There was a positive correlation between CAP and HbA1c in senile diabetic patients. Sputum bacterial culture positive 67. The highest detection rate of S. pneumoniae, followed by Klebsiella pneumoniae and Haemophilus influenzae. Conclusion: The positive control of blood glucose, regular detection of HbA1c on the prevention and treatment of senile diabetes complicated with CAP has a positive meaning.