血糖控制在肺结核合并糖尿病者中的重要作用.docxVIP

血糖控制在肺结核合并糖尿病者中的重要作用 Discussion of the Importance of Glucose Control in Treating Patients Who are Attacked by Pulmonary Tuberculosis Complicated with Diabetes YANG Shu-juan Department of Infectious Diseases， Xishuangbanna Dai Autonomous Prefecture People“s Hospital，Xishuangbanna，Yunnan Province，***** China [Abstract] Objective To discuss about the effect of glucose control in treating patients who are attacked by pulmonary tuberculosis complicated with diabetes. Methods The subjects of this study were 78 patients with positive Pulmonary tuberculosis complicated with diabetes mellitus （T2DM） in our hospital from March 2009 to March 2015， containing 19 patients with slight diabetes， 33 patients with moderate diabetes and 26 patients with Severe diabetes. Those who well-controlled diabetic were named Group A ， containing 48 cases and those who poorly controlled were named Group B， containing 30 cases. Controlling blood glucose， pasid treatment， observing the relationship among clinical symptoms improvement， sputum negative， and focus absorption and blood sugar. Results The rate of sputum negative in Group A after treating two months， three months， five months and nine months were separately 89.6%、93.7%、95.8% and 97.9%. which in group B were 63.3%、76.7%、80.0% and 83.3% There were significant meanings of the difference in sputum negative conversion rate between group A and group B （P0.05）； for group A， the positive rate of phlegm germ was 2.1% after treating for nine months while in group B， it was 20.0%， there was significant statistical meaning（χ2=0.012，P=0.012）； after the treatment， the rate of focus absorption between group A （97.9%）and group B（80.0%） have significant difference（χ2=7.255，P=0.012）； the average fasting blood glucose of the 78 patients ahead of treatment were （12.35±1.33）mmol/L and （10.17±1.25）mmol/L while after drugs therapy， the blood glucose level was lower. The difference was significant（t=3.531，P=0.049）. Conclusion Positive control