付国萍

[摘要] 目的 研究与分析肺结核合并糖尿病80例临床资料。方法 选择2014年1月—2016年8月该院收治的80例肺结核合并糖尿病患者作为研究对象，根据随机数字表法将80例患者分成对照组和观察组，各40例患者。对照组应用常规治疗，观察组给予有针对性治疗，两组患者经过6个月治疗后，比较两组患者血糖控制效果和肺结核治疗效果。结果 观察组血糖控制优良率97.5%，对照组血糖控制优良率85.0%，与对照组相比观察组血糖控制效果更佳，两组血糖控制效果组间对比差异有统计学意义（P<0.05）；观察组肺结核治疗总有效率95.0%，对照组肺结核治疗总有效率80.0%，与对照组相比观察组患者肺结核治疗效果更为理想，两组对比差异有统计学意义。结论 肺结核合并糖尿病患者临床治疗要结合患者实际病情选择有针对性治疗方案，可以使血糖取得更好的控制效果，提高肺结核患者的临床治疗效果，改善患者预后理想，值得推广应用。

[关键词] 肺结核；糖尿病；临床资料；研究

[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2017）04（a）-0016-03

[Abstract] Objective To research and analyze the clinical data of 80 cases of patients with pulmonary tuberculosis and diabetes. Methods 80 cases of patients with pulmonary tuberculosis and diabetes admitted and treated in our hospital from January 2014 to August 2016 were selected and randomly divided into two groups with 40 cases in each， the control group and the observation group were given the routine treatment and targeted treatment， after 6-month treatment， the blood control effect and pulmonary tuberculosis effect were compared between the two groups. Results The excellent and good rate of blood glucose in the observation group was better than that in the control group（97.5% vs 85.0%）， and the difference was obvious（P<0.05）， and the total effective rate in the observation group and in the control group was respectively 95.0% and 80.0%， and the treatment effect in the observation group was more ideal than that in the control group， and the difference was obvious. Conclusion The clinical treatment of patients with pulmonary tuberculosis and diabetes should select the targeted treatment plan according to the specific conditions thus obtaining a better control effect， improving the clinical treatment effect and improving the prognosis， which is worth promotion and application.

[Key words] Pulmonary tuberculosis； Diabetes； Clinical data； Research

肺結核是一种慢性传染病，主要传播方式为呼吸道传播，而我国正是肺结核病高发国家之一。结核病“五多一高”[1]为感染结核菌人多，肺结核患者多，死亡人数多，耐药人数多及农村患者多，疫情居高不下等内容[2]。随着我国人民生活水平的提高，人们对肺结核知识认知也越来越高。由于人们饮食结构的改变，糖尿病发病率也越来越高，而糖尿病也是肺结核相关疾病。临床研究发现，肺结核合并糖尿病患者发病率明显高于非糖尿病患者，我国老龄化的加剧导致糖尿病患者逐年增多[3]，而糖尿病合并肺结核发病率也逐年升高。该次研究中，选择2014年1月—2016年8月该院收治的80例肺结核合并糖尿病患者作为研究对象，80例患者分成两组应用不同的治疗方法以此帮助患者临床治疗选择最佳治疗方案提供参考，现报道如下。……