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目的 分析 2型糖尿病并发肺部感染的临床特点。方法 回顾分析 1990年 1月至 1998年 12月间在我院住院治疗的 44 8例 2型糖尿病病人。糖尿病的诊断按世界卫生组织 1980年的诊断标准 ,肺部感染的诊断根据病人的临床表现、X线和痰菌检查确定。结果 随着糖尿病病人年龄的增加和病程的延长 ,肺部感染的发生率增加 ,各年龄和病程组之间有显著差异 (P <0 0 5 ) ,但在男女病人之间和不同空腹血糖水平的病人之间肺部感染的发生率无显著差异 (P >0 0 5 ) ;肺部感染 80 %以上为革兰阴性杆菌感染 ,并发肺部感染可诱发或加重糖尿病急性并发症。结论 2型糖尿病发生肺部感染与糖尿病病人的年龄和病程有关 ,而与性别和空腹血糖水平无关 ;积极控制肺部感染可减少急性并发症的发生和死亡率。
Objective To analyze the clinical features of type 2 diabetes mellitus complicated with pulmonary infection. Methods A retrospective analysis of 448 patients with type 2 diabetes hospitalized in our hospital from January 1990 to December 1998 was conducted. Diagnosis of diabetes According to the World Health Organization in 1980 diagnostic criteria, the diagnosis of pulmonary infection based on the patient’s clinical manifestations, X-ray and sputum examination confirmed. Results The incidence of pulmonary infection increased with age and duration of diabetes mellitus patients (P <0.05), but there was significant difference between male and female patients and at different fasting blood glucose levels Of the patients had no significant difference in the incidence of pulmonary infection (P> 0.05). Over 80% of lung infections were Gram-negative bacilli infections. Pulmonary infection could induce or aggravate acute complications of diabetes. Conclusions Pulmonary infection of type 2 diabetes is related to the age and course of diabetes mellitus but not to gender and fasting blood glucose level. Active control of pulmonary infection can reduce the incidence of acute complications and mortality.