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目的分析肺结核合并2型糖尿病患者的临床特点,探讨积极有效的治疗措施。方法对临床确诊的87例肺结核合并2型糖尿病患者采取适当控制饮食、合理应用降血糖药物和胰岛素等综合治疗措施,使糖尿病得到有效控制;同时给予有效、合理的抗结核治疗措施.初治患者疗程为9~12个月、复治患者疗程为1.5~2年。结果初治患者总有效率为96.6%、复治患者总有效率为85.7%,血糖控制理想患者总有效率为100.0%、血糖控制尚可患者总有效率为95.2%、血糖控制不良患者总有效率为64.3%。结论肺结核合并2型糖尿病患者的病情复杂、严重,应在适当控制饮食的基础上合理使用降血糖药物和胰岛素等综合治疗措施,以使患者血糖得到有效控制;同时遵循“早期、联合、规律、适量、全程”的现代抗结核治疗原则,以达到控制糖尿病及治愈肺结核的目标。
Objective To analyze the clinical features of patients with pulmonary tuberculosis complicated with type 2 diabetes and to discuss the active and effective treatment measures. Methods Eighty-seven patients with type 2 diabetes mellitus and pulmonary tuberculosis complicated with type 2 diabetes who were clinically diagnosed were given appropriate diet, rational use of hypoglycemic drugs and insulin and other comprehensive treatment measures to effectively control diabetes mellitus, while giving effective and reasonable anti-TB treatment. The course of treatment is 9 to 12 months. The treatment of retreatment patients is 1.5 to 2 years. Results The total effective rate of initial treatment was 96.6%, the total effective rate of retreatment was 85.7%, the total effective rate of ideal blood glucose control was 100.0%, the total effective rate of glycemic control was 95.2%, and patients with poor glycemic control always had Efficiency is 64.3%. Conclusions The patients with pulmonary tuberculosis and type 2 diabetes are complicated and serious. The comprehensive treatment measures such as hypoglycemic agents and insulin should be used rationally on the basis of proper diet control so that the blood glucose of patients can be effectively controlled. At the same time, follow the early, combined, regular , Appropriate, full "modern anti-TB treatment principles, in order to achieve the goal of controlling diabetes and curing tuberculosis.