康复干预对糖尿病并发肺结核患者的疗效

摘要

Objective:To explore therapeutic effect of rehabilitation intervention on patients with diabetes mellitus (DM)complicated tuberculosis (TB).Methods:A total of 108 DM + TB patients treated in our hospital from Jan 2008 to Aug 2013 were enrolled.According to random number method,they were randomly and equally divided into rehabilitation intervention group and routine treatment group.The intervention course was eight weeks,and then rehabilitation effect was compared between two groups.Results:Compared with before treatment,after treatment, there were significant reductions in fasting blood glucose (FBG)and 2h postprandial blood glucose (2hPBG)in both groups,P <0.01 all;compared with routine treatment group,after treatment,there were significant reductions in levels of FBG [(6.77±1.82)mmol/L vs.(5.54±1.46)mmol/L]and 2hPBG [(7.94±1.83)mmol/L vs.(6.87 ±1.42)mmol/L],P <0.01 both,and significant rise in percentages of significant reduced or disappeared pleural effusion (51.85% vs.83.33%)and significant reduced or closed TB focus (44.44% vs.72.22%)in rehabilitation intervention group,P <0.01 both.Conclusion:Rehabilitation intervention can make patients get better control of blood glucose,promote absorption of pleural effusion and pulmonary tuberculosis focus.%目的：探讨康复干预对糖尿病并发肺结核患者疗效的影响。方法：选择2008年1月～2013年8月我院收治的108例糖尿病并发肺结核患者为研究对象，按随机数字法被分为康复干预组和常规治疗组，各组54例。干预时间为8周，比较两组患者的康复效果。结果：两组患者治疗后空腹血糖和餐后2h 血糖均较治疗前有显著下降（P均＜0.01）；与常规治疗组比较，康复干预组治疗后空腹血糖[（6.77±1.82）mmol／L 比（5.54±1.46）mmol／L]及餐后2h 血糖[（7.94±1.83）mmol／L 比（6.87±1.42）mmol／L]下降更显著（P ＜0.01），胸腔积液显著减少或消失的比例（51.85％比83.33％）、结核病灶明显缩小或闭合的比例（44.44％比72.22％）均明显增加（P 均＜0.01）。结论：康复干预能让患者血糖得到较好控制，促进胸腔积液和肺部结核病灶的吸收。