老年糖尿病合并肺结核22例分析

目的了解老年糖尿病合并肺结核的临床特点;方法对我院于1998～2006年诊断明确的老年糖尿病合并肺结核22例进行分析;结果使用胰岛素和血糖控制良好者结核病灶吸收好转,痰抗酸杆菌阳性者转阴,空洞缩小或闭合3/4以上。血糖控制不良者结核病灶无明显好转甚至恶化。结论糖尿病是结核病病发生和恶化的危险因素之一。良好的血糖控制是防止结核病难于控制甚至恶化的关键。应早期利用胰岛素正规治疗以有效控制血糖,减少其他降糖药物的使用,合理膳食,早期、联合、足量、规律使用抗结核药物,可提高两病的疗效。

Analysis of 22 cases old-age diabetes with pulmonary tuberculosis

Objective:To understand the clinical features of old age diabetic patients with pulmonary tuberculosis;Method:Analysing 22 cases diabetes and tuberculosis patients with clear diagnosis from 1998 to 2006 in our hospital;Result:For the patients with regular insulin treatment,the blood sugar was controlled well and pulmonary tuberculosis was also better absorbed.The positive sputum for acid-fast bacilli were negative;the empty was narrow or closed more than three-quarters.For the patients with poor blood sugar control,tuberculosis were no improvement,even deterioration.Conclusion:For tuberculosis,diabetes is a risk factor.Good blood sugar control is the key to control or prevent the deterioration of tuberculosis.Early regular use of insulin to control blood sugar,reducing the use of other antidiabetic drugs,reasonable diet,and joint,adequate,regular use of anti-tuberculosis drugs in the early days all were able to enhance the efficacy of the two diseases.