Objective To study the outcome prognosis for patients with pulmonary tuberculosis patients com-plicated with diabetes and to evaluate the factors of influencing curative effect. Methods 346 pulmonary tuberculosis patients complicated with diabetes were followed up from February 2011 to February 2014. The content of interview was involved:alcohol consumption, nutritional status, blood glucose control and the curative rate. The data that pa-tients were treated last for one year was collected and analyzed. Results The response rate during the follow-up was 82. 95%(287/346), of which 248 patients were successfully cured. 35 patients were invalid, and 4 patients were dead. The cure rate was related with age, gender, cavity, smoking, alcohol consumption, nutritional status and blood glucose control. The cure rate of female patients(91. 75%)was higher than that of male patients(83. 68%). At the age of 40 to 60, the cure rate was the highest(91. 72%). The cure rate among patients whose age younger than 40 and older than 60 respectively was 89. 29% and 77. 45%. The cure rate of patients without cavity and hemoptysis was respectively 95. 41% and 92. 72%. The cure rate among patients with good nutritional status was 97. 92%. The cure rate among patients with mild-, medium- and severe- nutritional was respectively 91. 58%, 51. 61% and 30. 77%. The cure rate of patients who had a good-, medium-and poor-blood glucose control was respectively up to 98. 05%, 90. 10% and 21. 43%. The cure rate among patients without smoking(93. 75%)and alcohol consumption(94. 85%)was higher than patients with smoking(83. 63%)and alcohol consumption(83. 87%)after discharge. Conclusion The cure rate is relevant to patients' age, gender, cavity, hemoptysis, blood glucose control, smok-ing, alcohol consumption and nutritional status.%目的 分析肺结核合并糖尿病患者的预后及影响患者肺结核治愈的因素,探讨提高患者治愈率的方法.方法 选取对象为2011年2月至2014年2月住院初治肺结核合并糖尿病患者346例,患者出院后对其进行追踪随访,记录每次随访获得的资料,包括患者吸烟饮酒情况、营养状况、血糖控制情况以及患者治愈结果等,对从进行抗结核治疗开始计算定期复查达一年的患者资料进行整理并统计分析.结果 346例患者随访287例,随访成功率82.95%.随访287例患者中治愈248例,未治愈35例,死亡4例.女性的治愈率比男性高,为91.75%,男性治愈率为83.68%;年龄在40~60岁的患者治愈率较高,为91.72%,小于40岁和大于60岁的患者治愈率分别为89.29%、77.45%;有空洞、咯血的患者治愈率分别为67.03%、70.37%,无空洞、咯血的患者治愈率分别为95.41%、92.72%;出院后营养状况正常的患者治愈率为97.92%,轻、中、重度营养不良的患者治愈率分别为91.58%、51.61%、30.77%;血糖控制良好的患者治愈率为98.05%,血糖控制一般、控制差的患者治愈率分别为90.10%、21.43%.出院后仍吸烟、饮酒的患者治愈率分别为83.63%、83.87%;不吸烟、不饮酒的患者治愈率分别为93.75%、94.85%.结论 出院后肺结核患者的治愈率受患者年龄、性别等人口学资料、是否空洞咯血等临床资料、吸烟饮酒等生活行为习惯以及营养状况、糖尿病控制情况的影响.
展开▼
