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目的分析结核性胸膜炎合并糖尿病患者的临床特征,观察其治疗疗效。方法 46例结核性胸膜炎合并糖尿病患者(观察组)与同期收治的50例结核性胸膜炎患者(对照组),2组均行常规治疗,观察组同时行胰岛素治疗,观察比较2组疗效。结果观察组胸腔积液以渗出为主,胸腔积液吸收时间、结核中毒症状缓解时间均较对照组长(P<0.05);血糖控制良好者胸腔积液吸收时间少于血糖控制不良者(P<0.05)。结论在常规抗结核治疗基础上,加强血糖控制,可有效改善结核性胸膜炎合并糖尿病患者的临床症状,患者预后良好。
Objective To analyze the clinical features of tuberculous pleurisy with diabetes mellitus and to observe its curative effect. Methods Forty - six patients with tuberculous pleurisy with diabetes mellitus (observation group) and 50 patients with tuberculous pleurisy (control group) were enrolled in the study. The two groups were treated with conventional therapy. The observation group was given insulin therapy at the same time. The curative effect was observed and compared between the two groups. Results The effusion of pleural effusion in the observation group was mainly effusion, the time of pleural effusion absorption and the relieving time of tuberculosis poisoning were longer than those of the control group (P <0.05). The absorption time of pleural effusion was less in patients with good glycemic control than those in poorly controlled glycemic control P <0.05). Conclusion On the basis of routine anti-TB therapy, strengthening blood glucose control can effectively improve the clinical symptoms of tuberculous pleurisy with diabetes, and the prognosis of patients is good.