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目的观察中西医结合治疗2型糖尿病合并肺结核的临床效果。方法将64例2型糖尿病合并肺结核患者随机分为观察组和对照组,每组32例。对照组予以西医常规降血糖、抗结核治疗;观察组在对照组治疗基础上予以中医治疗。比较2组治疗后糖尿病血糖控制情况、痰菌转阴和病灶吸收情况,观察比较2组糖尿病疗效。结果观察组病灶好转率为84.38%,高于对照组的62.50%(P<0.05);观察组痰菌阴转率为68.75%,高于对照组的37.50%(P<0.05);治疗后,2组空腹血糖(FBG)和餐后2 h血糖(2 h PBG)数值较治疗前降低,且观察组FBG和2 h PBG数值低于对照组(P均<0.01);观察组总有效率为93.75%,高于对照组的71.88%(P<0.05)。结论对2型糖尿病合并肺结核患者予以中西医结合治疗,临床疗效显著,值得临床推广应用。
Objective To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of type 2 diabetes mellitus combined with pulmonary tuberculosis. Methods 64 patients with type 2 diabetes combined with pulmonary tuberculosis were randomly divided into observation group and control group, 32 cases in each group. The control group was given conventional Western blood sugar lowering, anti-TB treatment; the observation group was treated with traditional Chinese medicine on the basis of the control group. Compare the two groups of diabetic patients after treatment of blood glucose control, sputum negative and absorption of lesions, observed and compared the efficacy of two groups of diabetes. Results The improvement rate of the observation group was 84.38%, higher than that of the control group (62.50%, P <0.05). The sputum negative conversion rate was 68.75% in the observation group and 37.50% in the control group (P <0.05) The fasting blood glucose (FBG) and 2-hour postprandial blood glucose (2h PBG) in 2 groups were lower than those before treatment, and FBG and 2-PBG in observation group were lower than those in control group (P <0.01) 93.75%, higher than the control group 71.88% (P <0.05). Conclusion Type 2 diabetes mellitus patients with pulmonary tuberculosis treated with integrated traditional Chinese and western medicine have a significant clinical effect and are worthy of clinical application.