慢性阻塞性肺疾病合并糖尿病的临床诊疗

【摘要】 目的对慢性阻塞性肺疾病合并糖尿病患者在临床上的治疗效果进行分析和探讨。方法选择慢性阻塞性肺疾病患者68例,随机分成试验组和对照组,各34例。对照组:对患者进行祛痰和抗感染等常规治疗,患者不规范地使用降糖药物和控制饮食等。试验组:在对照组治疗的基础上,对患者使用降糖药物进行治疗。对两组患者的治疗效果进行对比和分析。结果治疗后,试验组:显效28例,占82.4%;有效4例,占11.7%;无效2例,占5.9%;治疗有效率为94.1%。对照组:显效18例,占52.9%;有效6例,占17.6%;无效10例,占29.5%;治疗有效率为70.5%。两组患者在治疗有效率上对比差异显著,具有统计学意义(P<0.05)。两组患者在临床上的症状和生命体征改善情况进行对比,试验组要明显优于对照组,差异具有统计学意义(P<0.05)。两组患者在空腹时的血糖控制情况进行比较,试验组要明显优于对照组,差异具有统计学意义(P<0.05)。结论对慢性阻塞性肺疾病合并糖尿病患者的血糖进行有效地控制,并对其血糖进行及时的监测,能够使得患者的病情得到缓解,减少慢性阻塞性肺疾病的急性发作情况,进而使得患者的生活质量有效提高。更多还原

【Abstract】 Objective To analyze and discuss the effect of treatment in patients with chronic obstructive pulmonary disease complicated with diabetes in clinic. Methods Selection of patients with chronic obstructive pulmonary disease in 68 cases, were randomly divided into experimental group and control group, 34 cases in each.. Control group: expectorant and anti infection and other routine treatments for patients, patients do not regulate the use of hypoglycemic drugs and diet control etc. Experimental group: Based on the control group treatment, for the treatment of patients with hypoglycemic drugs. By comparison and analysis of two groups of patients. Results After treatment, the test group: excellent in 28 cases, accounting for 82.4%; 4 cases were effective, accounting for 11.7%; 2 cases were ineffective, accounted for 5.9%; the effective rate of treatment was 94.1%. Control group: 18 cases, accounting for 52.9%; 6 cases were effective, accounting for 17.6%; 10 cases were ineffective,accounted for 29.5%;the effective rate of treatment was 70.5%. The two groups of patients in the therapeutic effective rate had signif icant differences, with statistical signifi cance(P<0.05). The symptoms and signs of life in the patients in the two groups clinical improvement were compared, the test group was superior to the control group, the difference was statistically signif icant(P<0.05). The two groups were compared in patients with fasting blood sugar control, the test group was superior to the control group, the difference was statistically signif icant(P<0.05). Conclusion To effectively control the patients with chronic obstructive pulmonary disease complicated with diabetes blood glucose, and timely monitoring of blood glucose, can make patients in remission, reduce the acute attack of chronic obstructive pulmonary disease, which makes the quality of life of the patients improved.更多还原