摘要
目的 分析 2型糖尿病并发肺部感染的临床特点。方法 回顾分析 1990年 1月至 1998年 12月间在我院住院治疗的 44 8例 2型糖尿病病人。糖尿病的诊断按世界卫生组织 1980年的诊断标准 ,肺部感染的诊断根据病人的临床表现、X线和痰菌检查确定。结果 随着糖尿病病人年龄的增加和病程的延长 ,肺部感染的发生率增加 ,各年龄和病程组之间有显著差异 (P <0 0 5 ) ,但在男女病人之间和不同空腹血糖水平的病人之间肺部感染的发生率无显著差异 (P >0 0 5 ) ;肺部感染 80 %以上为革兰阴性杆菌感染 ,并发肺部感染可诱发或加重糖尿病急性并发症。结论 2型糖尿病发生肺部感染与糖尿病病人的年龄和病程有关 ,而与性别和空腹血糖水平无关 ;积极控制肺部感染可减少急性并发症的发生和死亡率。
Objective In order to analyze the clinical characteristics of type 2 diabetes mellitus(DM) complicated by the infection of lungs. Methods A retrospective investigation was performed in 448 cases DM(in patients) during January 1990 to December 1998 in our hospital. Results There was a significant difference (P<0.05) in the incidences of pulmonary infections of DM between different age groups and course groups, which increased with age and course, whereas no significant difference (P>0.05) between sex and different plasma glucose levels. 80% of pulmonary infctions were caused by Gram Negative bacilli. Complicated by the infections of lungs may induce and intensify the acute complications of diabetics. Conclusions Pulmonary infections of DM are related to the age and course of patients, whereas no related to sex and plasma glucose levels. Treating actively the pulmonary infections may decrease the complications and mortality rate of DM.
出处
《遵义医学院学报》
2000年第2期123-124,共2页
Journal of Zunyi Medical University
关键词
糖尿病
肺部感染
临床特点
并发症
诊断
治疗
type 2 diabetes mellitus pulmonary infection clinical characteristics
