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血糖控制对肺结核合并糖尿病患者化学治疗效果的影响

Clinical analysis of blood glucose control in the chemotherapy of tuberculosis patients complicated with diabetes

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【作者】 李剑鹏周德玫黄一明伍桂雄游达铭邱雪珍

【Author】 LI Jian-peng,ZHOU De-mei,HUANG Yi-ming,WU Gui-xiong,YOU Da-ming,QIU Xue-zhen Lung Department,the Third People′s Hospital of Wuzhou City,Guangxi 543000,China

【机构】 梧州市第三人民医院肺科

【摘要】 目的探讨血糖控制对肺结核合并糖尿病患者化学治疗效果的影响。方法选择我院不同血糖水平初治肺结核患者65例作为研究组,血糖正常肺结核患者58例作为对照组,两组患者均给予2~3HREZ/9~10HRE方案治疗,研究组同时给予血糖控制。结果两组X线胸片及痰菌阳性率比较有显著差异(P<0.05)。治疗后研究1组痰菌阴转率、病灶吸收好转率、空洞闭合率、临床痊愈率明显高于研究2组,(P<0.05);结论血糖水平与化学治疗疗效密切相关,对于肺结核合并糖尿病患者应严格控制血糖水平。

【Abstract】 Objective To investigate the efficency of blood glucose control in the chemotherapy of tuberculosis patients complicated with diabetes.Methods 65 patients with pulmonary tuberculosis patients complicated with diabetes were selected as the study group,and 58 tuberculosis patients with normal value of blood glucose as the control group.All patients were given 2~3HREZ/9~10HRE therapy,and the study group were given diabetic treatment additionally.Results The performance X-ray and sputum positive rates showed a significant differences(P<0.05).The improvement of sputum conversion rate,lesions absorption rate,clinical curative rate was more pronounced in the study group than in the control group(P<0.05).Conclusion The level of blood glucose is closely related to the conditions and chemotherapy of tuberculosis patients with diabetes.Therefore,blood glucose should be strictly controlled in those patients.

【关键词】 肺结核糖尿病血糖水平
【Key words】 tuberculosisdiabetesblood glucoses levels
  • 【文献出处】 临床肺科杂志 ,Journal of Clinical Pulmonary Medicine , 编辑部邮箱 ,2013年03期
  • 【分类号】R587.1;R521
  • 【被引频次】26
  • 【下载频次】148
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