Objective:To observe the effect of different hypoglycemic regimens on pulmonary tuberculosis with type 2 diabetes mellitus.Methods:80 patients with type 2 diabetes mellitus were randomly divided into two groups according to the 1:1 principle.The patients in the control group were treated with oral hypoglycemic drugs,while the treatment group treated with conventional subcutaneous injection of insulin,and the clinical curative effect of the two groups were compared.Results:The improvement of blood glucose control and clinical indicators of pulmonary tuberculosis in treatment group was better than that in control group,the difference was statistically significant(P<0.05),and the curative rate in the treatment group was higher than that in the control group,the difference was statisti-cally significant (P<0.05).There was no significant difference in the incidence of hypoglycemia between the two groups(P>0.05). Conclusions:Routine hypodermic injection of insulin can lower blood sugar better,which is helpful to improve clinical indicators of pul-monary tuberculosis such as sputum negative,lesion absorption and cavity closure,and promote disease rehabilitation.%目的:观察不同降糖方案对肺结核合并2型糖尿病临床疗效的影响.方法:选取肺结核合并2型糖尿病患者80例,按照1:1原则将其随机分为两组,对照组采用口服降糖药物治疗,治疗组采用常规皮下注射胰岛素治疗,对比治疗后临床疗效.结果:治疗组对血糖控制情况及肺结核临床指标改善情况优于对照组,差异有统计学意义(P<0.05);治疗组治愈率高于对照组,差异有统计学意义(P<0.05),但两组低血糖发生率,差异无统计学意义(P>0.05).结论:常规皮下注射胰岛素能够较好的降低血糖,有利于改善痰菌转阴、病灶吸收及空洞闭合等肺结核临床指标,促进疾病康复.
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