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目的分析肺结核合并糖尿病患者的临床特点及疗效。探讨两病并存的特点和规律,了解临床特征和治疗转归等方面的特殊性,为该类患者的治疗提供依据。方法对本所两年间住院患者肺结核合并糖尿病患者42例的相关资料进行分析。结果结核病病情程度与治疗前空腹血糖水平呈正相关;结核病治疗效果与血糖控制水平密切相关。结论结核病合并糖尿病以病变重、预后差为特点。积极有效的控制血糖,早期合理的抗结核治疗,能提高肺结核治愈率,控制结核病的传播。
Objective To analyze the clinical features and therapeutic effects of pulmonary tuberculosis complicated with diabetes. To explore the characteristics and laws of the coexistence of the two diseases and to understand the particularity of the clinical features and treatment outcome so as to provide the basis for the treatment of such patients. Methods The data of 42 cases of pulmonary tuberculosis complicated with diabetes in our hospital in two years were analyzed. Results The severity of tuberculosis was positively correlated with fasting blood glucose before treatment. The treatment effect of tuberculosis was closely related to the level of blood sugar control. Conclusions Tuberculosis complicated by diabetes is characterized by severe disease and poor prognosis. Active and effective control of blood glucose, early and reasonable treatment of anti-TB, can improve the cure rate of tuberculosis and control the spread of tuberculosis.