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目的通过观察初诊2型糖尿病患者强化治疗前后肺功能变化,探讨糖尿病强化治疗对肺功能的影响。方法选择40例初诊2型糖尿病患者进行强化降糖治疗,强化降糖前及治疗3个月后检测肺功能及HbA1c。结果初诊2型糖尿病患者强化治疗前后肺功能比较,肺通气功能无变化,弥散功能变化有统计学意义,随着HbA1c降低,肺弥散功能明显好转。结论初诊2型糖尿病患者肺功能存在弥散功能障碍,糖化血红蛋白是影响肺弥散功能的主要因素。
Objective To observe the changes of pulmonary function in patients with newly diagnosed type 2 diabetes before and after intensive treatment to investigate the effects of intensive diabetes mellitus on pulmonary function. Methods 40 patients with newly diagnosed type 2 diabetes mellitus were selected for intensive hypoglycemic treatment. Before and after hypoglycemic treatment, lung function and HbA1c levels were measured. Results There was no significant difference in pulmonary function between the newly diagnosed type 2 diabetic patients before and after intensive treatment and the diffusive function had statistical significance. With the decrease of HbA1c, the pulmonary diffusing function improved obviously. Conclusions There is diffuse dysfunction of lung function in newly diagnosed type 2 diabetic patients. Glycated hemoglobin is the main factor affecting the diffuse function of lung.