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目的为提高肺结核合并糖尿病的治疗效果,找出相应对策提供依据。方法回顾性分析对2008~2011年新疆巩留县疾病预防控制中心结核病防治科治疗的18例肺结核合并糖尿病患者的治疗效果。结果 18例肺结核合并糖尿病患者经治疗后,阴转10例,阴转率55.6%;其中初治7例,阴转4例,阴转率为57.14%,复治11例,阴转6例,阴转率54.54%;病变明显吸收者10例,占55.6%,治愈率55.6%;5例复治、难治涂阳患者为多重耐药患者。结论肺结核合并糖尿病患者与单纯肺结核患者相比有起病急、病情较重、病灶范围广泛、肺部易形成空洞、疗效差、容易产生耐药、治愈后易复发等特点,其疗效与血糖控制水平密切相关;因此,肺结核合并糖尿病患者在治疗上要两病兼顾,在有效控制血糖的基础上,进行早期、合理地使用抗结核药物,才能提高疗效。
Objective To improve the therapeutic effect of pulmonary tuberculosis combined with diabetes and find out the countermeasures to provide the basis. Methods Retrospective analysis of treatment of tuberculosis patients with tuberculosis in 18 tuberculosis prevention and treatment department of Gongliu Center for Disease Control and Prevention in Xinjiang from 2008 to 2011 was retrospectively analyzed. Results 18 cases of pulmonary tuberculosis with diabetes after treatment, 10 cases of negative conversion, negative conversion rate of 55.6%; of which 7 cases of initial treatment, 4 cases of negative conversion, negative conversion rate was 57.14%, retreatment in 11 cases, 6 cases of negative conversion, The rate of negative conversion was 54.54%. Ten patients with obvious lesion absorption, accounting for 55.6%, the cure rate was 55.6%. Five patients with multi-drug resistant and refractory smear were cured. Conclusions Patients with pulmonary tuberculosis complicated with diabetes mellitus have acute onset, severe illness, extensive range of lesions, easy formation of cavities in the lungs, poor curative effect, easy drug resistance and easy relapse after curative treatment. The curative effect and blood sugar control Level is closely related; therefore, tuberculosis patients with diabetes in the treatment of both disease and disease, in the effective control of blood glucose based on the early, rational use of anti-TB drugs, can improve the efficacy.