ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA LAO PHỔI Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYPE 2 TẠI BỆNH VIỆN LAO VÀ BỆNH PHỔI THÁI NGUYÊN = CLINICAL AND SUBCLINICAL CHARACTERISTICS OF PULMONARY TUBERCULOSIS IN PATIENTS WITH DIABETES AT THAI NGUYEN TUBERCULOSIS AND LUNG DISEASE HOSPITAL

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Tác giả: Hiếu Dương Phương, Nguyễn Thị Lệ, Cao Quý Tư

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học và Công nghệ - Đại học Thái Nguyên, 2020

Mô tả vật lý: tr.45945

Bộ sưu tập: NCBI

ID: 551582

Thêm vào giỏ

Mối liên quan giữa bệnh nhân mắc lao phổi và đái tháo đường đã được biết đến từ lâu. Nhiều nghiên cứu đã chỉ ra rằng đái tháo đường làm thay đổi những biểu hiện lâm sàng và Xquang của lao phổi. Tại Bệnh viện Lao và bệnh phổi Thái Nguyên cho tới nay vẫn chưa có nhiều nghiên cứu về vấn đề này
do đó, chúng tôi tiến hành nghiên cứu này với mục tiêu mô tả đặc điểm lâm sàng và cận lâm sàng của lao phổi ở bệnh nhân đái tháo đường type 2 với phương pháp nghiên cứu mô tả thiết kế cắt ngang, kết hợp hồi cứu và tiến cứu. Kết quả nghiên cứu cho thấy tuổi trung bình của bệnh nhân mắc lao phổi kèm đái tháo đường cao hơn 58 ± 13 tuổi so với bệnh nhân lao phổi đơn thuần (42,27 ± 18) (p= 0,001). Sốt nhẹ về chiều, rale rít, rale ngáy thấy nhiều hơn ở bệnh nhân lao phổi kèm đái tháo đường (p <
0,05), nhưng sụt cân thấy nhiều hơn ở nhóm lao phổi đơn thuần (p <
0,05). Tổn thương hang và tổn thương thùy giữa trên X-quang thấy nhiều hơn ở bệnh nhân lao phổi kèm đái tháo đường (lần lượt là 27,9% và 628%) so với bệnh nhân lao phổi đơn thuần (lần lượt là 6,5% và 43,5%). The relationship between patients with tuberculosis and diabetes has long been known. Numerous studies have shown that diabetes alters the clinical manifestations and X-rays of pulmonary tuberculosis. At Thai Nguyen Tuberculosis and Lung Disease Hospital, there has not been much research on this issue, so we conducted this study with the aim of describing the clinical and subclinical characteristics of pulmonary tuberculosis in patients Type 2 diabetes with research methods that describe cross-sectional designs, combining retrospective and prospective studies. The study results showed that the mean age ± SD of patients with tuberculosis with diabetes was 58 ± 13 years older than patients with simple tuberculosis (42.27 ± 18) (p = 0.001). Mild fever in the afternoon, hiss, snoring rale was more common in patients with pulmonary tuberculosis with diabetes (p <
0.05), but more weight loss was seen in the pulmonary tuberculosis group (p <
0.05). Cave lesions and mediastinal lesions on X-ray were more common in patients with tuberculosis with diabetes (27.9% and 62.8%, respectively) compared with patients with pulmonary tuberculosis (6.5% and 43.5%, respectively).

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