广州医药 ›› 2025, Vol. 56 ›› Issue (9): 1182-1188.DOI: 10.20223/j.cnki.1000-8535.2025.09.004

• 综述 • 上一篇    下一篇

糖尿病患者合并细菌性肺炎的研究进展

邓冬燕1, 秦振昆2, 高静1, 张营1, 刘延雯1   

  1. 1 新疆医科大学第五附属医院内分泌科(新疆乌鲁木齐 830000);
    2 新疆医科大学第五附属医院全科(新疆乌鲁木齐 830000)
  • 收稿日期:2024-09-05 出版日期:2025-09-20 发布日期:2025-10-31
  • 通讯作者: 高静,E-mail:gaojing@126.com
  • 基金资助:
    新疆维吾尔自治区科技计划项目(2021D01C436)

Research progress on diabetes mellitus patients with bacterial pneumonia

DENG Dongyan1, QIN Zhenkun2, GAO Jing1, ZHANG Ying1, LIU Yanwen1   

  1. 1 Department of Endocrinology, the Fifth Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China;
    2 Department of General Practice, the Fifth Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China
  • Received:2024-09-05 Online:2025-09-20 Published:2025-10-31

摘要: 随着糖尿病患者的增加,因肺炎住院的糖尿病患者数也呈现出明显上升趋势。由于糖代谢紊乱及机体免疫功能下降等因素,细菌在高血糖的机体环境中快速繁殖并分泌大量毒素,增加了抗菌药物使用的时间跨度和细菌清除难度,对患者预后造成了极大的威胁。文章主要对糖尿病合并细菌性肺炎患者的病原学特征、耐药情况及药物治疗等进行阐述,旨在进一步为临床预防和治疗提供参考依据。

关键词: 糖尿病, 高血糖, 肺炎, 病原菌

Abstract: With the increasing incidence in diabetes,the number of hospitalized diabetes patients with pneumonia is also increasing. Due to factors such as glucose metabolism disorders and decreased immune function in the body,bacteria rapidly multiply and secrete a large amount of toxins in the hyperglycemic environment,increasing the duration of antibiotic use and the difficulty of bacterial clearance,posing a great threat to patient prognosis. This article mainly elaborates on the pathogenic characteristics,drug resistance,and drug treatment of diabetes patients with bacterial pneumonia,aiming to provide reference for the clinical prevention and treatment.

Key words: diabetes, hyperglycemia, pneumonia, pathogens