类风湿关节炎继发糖尿病患者肺部感染的临床治疗效果观察

发布时间：2018-04-09 04:35

本文选题：胰岛素　切入点：糖尿病　出处：《中华医院感染学杂志》2014年19期

【摘要】：目的探讨胰岛素联合抗菌药物治疗类风湿关节炎继发糖尿病患者肺部感染的临床效果,为临床治疗提供参考依据。方法选择2007年3月-2012年12月医院收治的80例类风湿关节炎继发糖尿病患者发生肺感染的临床资料,将其分为观察组和对照组,每组各40例,观察组患者采用胰岛素联合抗菌药物进行治疗,对照组患者使用口服降糖药联合抗菌药物进行治疗,比较两组患者的治疗效果,数据采用SPSS 17.0统计软件进行分析。结果观察组患者的血糖达标时间及住院时间分别为(4.3±0.5)d、(8.0±2.1)d,均明显优于对照组患者,且差异有统计学意义(P0.05),而且观察组患者的总有效率为100.0%,明显高于对照组患者的85.0%,差异有统计学意义(P0.05)。结论胰岛素联合抗菌药物治疗类风湿关节炎继发糖尿病并发肺感染患者疗效显著,有效缩短住院时间节省费用,值得临床广泛应用。
[Abstract]:Objective to investigate the clinical effect of insulin combined with antimicrobial agents on pulmonary infection in patients with rheumatoid arthritis (RA) secondary diabetes mellitus.Methods from March 2007 to December 2012, 80 patients with secondary diabetes mellitus from rheumatoid arthritis were divided into observation group and control group with 40 cases in each group.The patients in the observation group were treated with insulin combined with antimicrobial agents, and the patients in the control group were treated with oral hypoglycemic drugs combined with antibiotics. The therapeutic effects of the two groups were compared. The data were analyzed by SPSS 17.0 software.Results the blood glucose standard time and hospitalization time of the patients in the observation group were respectively 4.3 卤0.5 days and 8.0 卤2.1 days, which were significantly better than those in the control group.The difference was statistically significant (P 0.05), and the total effective rate of the observation group was 100.0, which was significantly higher than that of the control group (85.0%), and the difference was statistically significant (P 0.05).Conclusion Insulin combined with antimicrobial agents is effective in treating patients with secondary diabetes mellitus complicated with pulmonary infection in rheumatoid arthritis.
【作者单位】：天津医科大学总医院风湿免疫科;
【基金】：天津市卫生局基金资助项目(2012KZ099)
【分类号】：R563.1

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