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目的分析老年肺结核合并糖尿病的临床特点,阐述老年肺结核合并糖尿病的诊治体会,为临床治疗该病提供参考。方法选择2010年以来我院收治的老年肺结核合并糖尿病64例患者,年龄≥60岁。糖尿病诊断标准依据WHO1999诊断标准,肺结核诊断标准:①痰菌阳性;②痰培养抗酸杆菌阳性;③胸部X线具有结核特征;④PPD强阳性或抗结核抗体阳性;⑤具有肺结核的临床表现;⑥抗痨治疗有效。符合2条以上者。对入组者进行相应治疗。结果与结论糖尿病患者结核病的发病率比非糖尿病患者高3～4倍,且一旦发生,相互恶化,进展快,耐药率发生高,使病情难以控制,因此要早发现、早诊治,严格控制血糖,两病同治时优先治疗糖尿病,同时注意营养支持与免疫增强剂的应用。
Objective To analyze the clinical features of elderly patients with pulmonary tuberculosis complicated with diabetes mellitus, elaborate the diagnosis and treatment of elderly patients with pulmonary tuberculosis and provide a reference for the clinical treatment of the disease. Methods Sixty-four elderly patients with tuberculosis and diabetes mellitus admitted to our hospital from 2010 onwards were selected, aged ≥60 years. Diagnostic criteria of diabetes according to WHO1999 diagnostic criteria, diagnostic criteria for tuberculosis: ① sputum positive; ② sputum culture acid-fast bacilli positive; ③ chest X-ray features of tuberculosis; ④ positive PPD positive or anti-TB antibodies; ⑤ clinical manifestations of tuberculosis; ⑥ Anti-tuberculosis treatment effective. Meet two or more. The participants were treated accordingly. RESULTS AND CONCLUSION: The incidence of tuberculosis in diabetic patients is 3 to 4 times higher than that of non-diabetic patients. Once the patients have diabetes, they worsen each other’s progress, the rate of drug resistance is high and the condition is difficult to control. Therefore, early detection, early diagnosis and treatment and strict control Blood sugar, two diseases with diabetes priority treatment, while paying attention to nutritional support and immune enhancer applications.