中西医结合治疗糖病并肺结核42例临床观察.docVIP

中西医结合治疗糖尿病并肺结核42例临床观察 【摘要】目的 探讨中西医结合疗法对糖尿病合并肺结核患者的血糖、临床症状、病灶吸收率的临床疗效。方法 将糖尿病合并肺结核患者42例，随机分为治疗组(中西医结合治疗)、对照组(单纯西医抗结核、降血糖治疗)，经三个月治疗后分析两组患者的血糖控制情况、临床表现及胸部X线表现。结果 两组治疗后血糖均良好控制，两组治疗前及治疗后比较，差异具有统计学意义（P＜0.05），但治疗组与对照组之间血糖值无显著差异（P＞0.05）；两组经治疗三个月后病灶都有不同程度吸收，治疗组病灶吸收率优于对照组（P＜0.05）；经治疗后治疗组临床症状好转率明显优于对照组（P＜0.05）。结论 糖尿病合并肺结核患者联合扶正固本中药治疗能取得较好疗效，有协同治疗作用。 【关键词】肺结核 糖尿病 中西医结合 职称论文 【Abstract】Objective To probe the clinical effects of blood sugar, clinical symptoms, and the absorption of lesions on the patients of Diabetes mellitus with Pulmonary Tuberculosis with the methods of Traditional Chinese Medicine and Western Medicine. Methods 42 cases of clinical diabetes mellitus patients with pulmonary tuberculosis were randomly divided into treatment group(Integrative Medicine), control group(Western anti-TB，hypoglycemic therapy). To analyze the controlling of blood sugar, clinical manifestation, and Chest X-ray showed between two groups after three months. Results The blood sugar of the two groups were good controlled. It was significantly lowered compared with formerly treatment(Plt;0.05). But it has no significant difference between two groups(P＞0.05). The lesions were absorbed in different degree in the two groups after treated with three months. The treatment group was superior to control group(Plt;0.05). The improvement of clinical symptoms in treatment group was superior to control group(Plt;0.05). Conclusion It indicates that the tonic traditional chinese herbs has synergism effects in the patients of Diabetes mellitus with Pulmonary Tuberculosis. 【Keywords】 Pulmonary Tuberculosis Diabetes Traditional Chinese Medicine and Western Medicine 糖尿病已成为全球性的保健问题，糖尿病发病率呈增长趋势。我国现有糖尿病人数已接近1亿人，60～70岁年龄组糖尿病患病率高达10％左右。随着人口老龄化，肥胖人群增多，生活方式的变化，糖尿病病人将会继续增多。早年尸检报告指出，糖尿病患者半数以上并发结核病。近年糖尿病合并肺结核中老年患者有增多的趋势，其最大的特点，糖尿病史在5～20年，体质消瘦，血糖不易控制，合并肺结核时病灶广泛，易形成空洞，痰菌阳性率高。国内外临床观察结果也显示糖尿病患者的结核病患病率较非糖尿患者群高2～4倍或3～6倍，糖尿病控制不良者结核病发病率约比控制良好者高3倍；因此，糖尿病并发结核病的治疗一直是临床医生关注的重要课题之一。笔者结合自己的临床经验，总结了42例糖尿病合并肺结核患者的临床特点与病发因素，采用中西医结合方法治