糖尿病与肺结核的相关性研究

发布时间：2018-02-17 07:52

本文关键词： 糖尿病肺结核血糖控制抗结核治疗　出处：《兰州大学》2012年硕士论文　论文类型：学位论文

【摘要】：糖尿病(diabetes mellitus)和肺结核(tuberculosis, TB)是临床上的常见病和多发病。相关资料表明,糖尿病患者合并肺结核的机率是普通人群肺结核患病率的4-8倍。随着糖尿病发病率在全球范围的不断上升,糖尿病合并肺结核的情况仍有增长趋势,尤其在发展中国家如中国、印度等,两病的并存给临床诊断,尤其是治疗造成一定的困难。糖尿病合并肺结核的临床表现不典型,可能无典型“三多一少”的症状,肺结核的结核中毒症状也不典型,容易出现误诊。或者因为糖尿病导致患者逐渐消瘦,从而忽视了肺结核所致机体消耗状态的可能,延误了结核的诊断和治疗。在两病并存的情况下,对于糖尿病血糖控制节点问题面前尚有不同看法,仍需要大量的临床研究。肺结核与糖尿病并存,病情进展快,治疗效果差,容易产生耐药,二者相互影响从而加重病情,减弱抗结核治疗效果。
[Abstract]:Diabetes mellitus (Mellitus) and tuberculosis tuberculosissis (TB) are common and frequent diseases in clinic. People with diabetes are 4-8 times more likely to have TB than the general population. With the global increase in the incidence of diabetes, the incidence of diabetes with tuberculosis continues to increase, especially in developing countries such as China. India and so on, the coexistence of the two diseases causes certain difficulties in clinical diagnosis, especially in the treatment. The clinical manifestations of diabetes complicated with pulmonary tuberculosis may not be typical, and there may be no typical symptoms of "three more than one less", and the tuberculosis poisoning symptoms of tuberculosis are also not typical. It is easy to misdiagnose. Or because diabetes causes the patient to lose weight gradually, thus neglecting the possibility of the consumption state of the body caused by tuberculosis, thus delaying the diagnosis and treatment of tuberculosis. There are still different views on the diabetes blood sugar control node, and a large number of clinical studies are still needed. Tuberculosis and diabetes coexist, the disease progresses quickly, the therapeutic effect is poor, the drug resistance is easy to produce, and the two affect each other and thus aggravate the disease. Reduce the effect of antituberculous therapy.
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R587.1;R521

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