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老年初治肺结核并糖尿病63例临床分析

The clinic analysis on 63 elder pulmonary tuberculosis cases comb ined with diabetes

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【作者】 贾书妍乔翠君李红梅辛志玲焦伦先曲海波王树宪

【Author】 Jia Shuyan,Qiao Cuijun,Li Hongmei,et al.Yantai Beihai Hospital ,Longkou 265701

【机构】 山东省烟台市北海医院山东省烟台市北海医院 龙口265701龙口265701龙口265701

【摘要】 目的 提高对老年糖尿病肺结核的认识 ,争取早发现、早治疗。方法 对 4年间 6 3例老年糖尿病肺结核病例进行临床分析。结果  6 3例患者中 ,血糖控制在 7.9~ 11.1mmol/L 5 7例 ,其中肺结核病灶吸收好转 5 1例 ,痰菌 1月阴转 30例 ,2月阴转 2 1例 ,3月阴转 6例 ;6例血糖控制不理想>11.1mmol/L ,其中仅 1例病灶吸收好转 ,痰菌 3月阴转 3例 ,3月至半年阴转 3例。结论 积极控制血糖 ,使血糖控制在 7.9~ 11.1mmol/L ,合理的抗结核治疗对控制老年糖尿病肺结核亦起重要的作用。

【Abstract】 Objective To improve the awareness of elder pulm on ary tuberculosis combined with diabetes for detecting and treating at the early stage.Methods To make clinic analysis on 63 pulmonary tuberculosis co mbined with diabetes in 4 years.Results Among the 63 patients,blood sugar leve l of 57 cases had been controlled from 7.9 to 11.1 mmol/L.Among the 57 cases,the tuberculosis focus of 51 cases turned to be absorbed;the somear negative conver sion results were available in 30,21,6 cases at the end of first,second and thir d months of the treatments.The blood sugar level of 6 cases had not been control led satisfactorily and higher than 11.1 mmol/L.Among the 6 cases,the tuberculosi s focus of only 1 cases turned to be absorbed;the smear negative conversion resu lts were available in 3,3cases at the end of third months and 3-6 months of the treatments.Conclusion To control the blood sugar level from 7.9 to 11.1 mm ol/L through the treatment of diabetes is the key factor to cure elder pulmonary tuberculosis cases combined withdiabetes.

【关键词】 结核,肺/并发症糖尿病老年人
【Key words】 Pulmonary tuberculosis/complicationDiabetesAged
  • 【文献出处】 中国防痨杂志 ,Bulletin of Chinese Antituberculosis Association , 编辑部邮箱 ,2004年06期
  • 【分类号】R521;R587.1
  • 【被引频次】8
  • 【下载频次】52
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