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目的探讨2型糖尿病合并感染的临床特征和治疗情况,为2型糖尿病合并感染患者的有效治疗提供依据。方法回顾性分析本院从2012年11月~2013年10月收治的120例2型糖尿病合并感染患者的临床资料,探讨相应的治疗方法。结果 120例患者感染部位以呼吸系统最为常见,占55.83%(67/120);其次为泌尿系统,占19.17%(23/120)。58例患者细菌培养结果阳性,病原菌以大肠埃希菌为主,占25.86%(15/58);其次主要是肺炎链球菌,占18.97%(11/58)。经过综合性治疗,120例患者中有42例治愈,57例显效,总有效率为82.5%(99/120)。结论 2型糖尿病患者抵抗力低下,易发生感染,早期诊断和个体化综合性治疗可以预防多器官衰竭,延长糖尿病患者寿命。
Objective To investigate the clinical characteristics and treatment of type 2 diabetes mellitus complicated with infection and provide evidence for the effective treatment of type 2 diabetes mellitus complicated with infection. Methods The clinical data of 120 patients with type 2 diabetes mellitus complicated with infection admitted from November 2012 to October 2013 in our hospital were retrospectively analyzed to explore the corresponding treatment methods. Results Most of the 120 cases were infected with the respiratory system, accounting for 55.83% (67/120), followed by the urinary system (19.17%, 23/120). 58 patients were positive for bacterial culture. The main pathogens were Escherichia coli, accounting for 25.86% (15/58), followed by Streptococcus pneumoniae (18.97%, 11/58). After a comprehensive treatment, 42 of 120 patients were cured, 57 were markedly effective, the total effective rate was 82.5% (99/120). Conclusions Patients with type 2 diabetes have low immunity and are prone to infection. Early diagnosis and individualized comprehensive treatment can prevent multiple organ failure and prolong the life span of patients with diabetes.