慢性阻塞性肺病急性发作合并糖尿病的临床分析.docVIP

精品论文 参考文献 慢性阻塞性肺病急性发作合并糖尿病的临床分析 胡岗（四川省成都市第五人民医院呼吸科 611130） 【中图分类号】R563【文献标识码】A【文章编号】1672-5085（2011）44-0175-02 【摘要】目的 探讨慢性阻塞性肺病急性发作（AECOPD）合并糖尿病患者的临床特点。方法 入选患者完善胸片，肺功能检查，血糖，肝、肾功能，痰细菌培养。根据有无糖尿病分为COPD合并糖尿病组与单纯COPD组。结果 合并糖尿病组与单纯COPD组在肺通气功能，弥散功能指标比较差异有统计学意义，并发症多，平均住院时间长。结论 AECOPD合并糖尿病痰细菌培养阳性率高，其中肺炎克雷伯杆菌22.39%,铜绿假单胞菌17.91%，金黄色葡萄球菌23.88%。提示糖尿病可能使COPD患者更易受到细菌的侵犯，且以G-杆菌，金黄色葡萄球菌感染多见，病情重。因此，COPD合并糖尿病患者更要重视对细菌感染的治疗。 【关键词】AECOPD 糖尿病 细菌The clinical analysis for AECOPD with diabetes Liu rui-qi Huai Bei Miner Gereral Hosp 【Abstract】 Objiect The paper discusses the patientsrsquo; clinical features of AECOPD associated with diabetes. Methods The procedures are as follows: choose patientsrsquo; sternum, pulmonary function test, blood sugar, liver function as well as renal function, phlegm bacterial culture. And the patients can be divided into two groups based on whether they have diabetes or not: those who have COPD associated with diabetes and those who are simple COPD. Results the positive rate of the group of COPD associated with diabetes is 69.07%, the positive rate of the group of simple COPD is 31.96%. The group of COPD associated with diabetes and the groups of simple COPD have comparative differences in pulmonary ventilatory function, pulmonary diffusive function, which have statistical meaning. The patients in the first group have more complications and longer length of stay. Conclusions the positive rate of the bacteria culture of AECOPD associated with diabetes is high. Among them the rate of kelebsiella pneumonia is 22.39%, the rate of pseudomonas aeruginosa is 17.91%, the rate of staphylococcus aureus is 23.88%. This indicates diabetes makes it easier for the patients with COPD be infected by bacteria. And most of them are infected by kelebsiella pneumonia and staphylococcus aureus and are in severe condition. Therefore the patients with COPD associated with diabetes need more treatment against bacteria infection. 【Key words】 AECOPD Diabetes mellitus Bacter