| 摘要: |
| 目的：观察中西医结合治疗肺结核合并糖尿病的临床疗效。方法：将80例肺结核合并糖尿病患者随机分为治疗组和对照组各40例。对照组采用联合化疗、胰岛素强化降糖治疗，治疗组在对照组基础上加用生脉散加味治疗，疗程均为8个月。观察2组肺内病灶吸收率、痰菌转阴率、空洞闭合率及化疗结束后2个月末的空腹血糖、餐后2h血糖、糖化血红蛋白水平。结果：治疗组肺内病灶吸收率、痰菌转阴率、空洞闭合率均显著高于对照组，组间比较，差异具有统计学意义（P<0.01）；治疗组化疗结束后2个月末各项血糖指标水平均高于对照组，组间比较，差异有统计学意义（P<0.05）。结论：中西医结合治疗肺结核合并糖尿病患者，不仅可有效控制血糖，而且能提高肺结核的治愈率，值得临床推广应用。 |
| 关键词: 肺结核 糖尿病 中西医结合疗法 生脉散加味 |
| DOI： |
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| Clinical effect of integrated traditional Chinese and Western medicine therapy in patients with pulmonary tuberculosis and diabetes：an analysis of 40 cases |
| CHEN Jie，,ZHANG Sheng-nan，,PENG Yuan-yuan |
| (1.Shenzhen Futian Center for Chronic Disease Control，Shenzhen 518048，Guangdong，China;2.Futian Hospital of Traditional Chinese Medicine，Shenzhen 518034，Guangdong，China) |
| Abstract: |
| Objective：To investigate the clinical effect of integrated traditional Chinese and Western medicine therapy in patients with pulmonary tuberculosis and diabetes.Methods：A total of 80 patients with pulmonary tuberculosis and diabetes were randomly divided into treatment group and control group，with 40 patients in each group.The patients in the control group were given chemotherapy and hypoglycemic therapy with insulin，and those in the treatment group were given Jiawei Shengmai powder in addition to the treatment in the control group.The course of treatment was 8 months for both groups.The two groups were compared in terms of absorption rate of intrapulmonary lesion，clearance rate of sputum bacteria，cavity closure rate，and levels of fasting blood glucose，2-hour postprandial blood glucose，and glycosylated hemoglobin at two months after chemotherapy ended.Results：Compared with the control group，the treatment group had significantly higher absorption rate of intrapulmonary lesion，clearance rate of sputum bacteria，and cavity closure rate after treatment（P<0.01).At two months after chemotherapy ended，the treatment group had significantly better blood glucose indices than the control group（P<0.05).Conclusion：Integrated traditional Chinese and Western medicine therapy can effectively control blood glucose and improve the cure rate of pulmonary tuberculosis in patients with pulmonary tuberculosis and diabetes.Therefore，it holds promise for clinical application. |
| Key words: pulmonary tuberculosis diabetes integrated traditional Chinese and Western medicine therapy Jiawei Shengmai powder |
