摘要
目的:了解汉阳区肺结核合并糖尿病(PTB-DM)流行病学情况,为制定相关的防治策略提供依据。方法:统计分析汉阳区结防所门诊登记2008-2012年肺结核登记的资料。结果:2008-2012年汉阳区结防门诊登记PTB-DM患者166例,占同期登记肺结核患者总数的比例5年平均9.1%。男性PTB-DM占肺结核登记人数中男性患者的构成比11.1%,女性构成比5.2%(P<0.01)。PTB-DM患者以中老年为主,45岁后两病并发率大幅上升。在PTB-DM患者中,痰涂片阳性者82例(49.4%)、痰涂片阴性84例(50.6%)、出现空洞72例(43.4%)。PTB-DM患者的涂阳率和空洞率均高于无合并糖尿病的肺结核患者(P<0.01)。结论:PTB-DM发生率较高,以中老年发病为主,涂阳率和空洞率均较高,给结核病控制带来一定的困难,要加强这一人群的防治工作。
Objective：To understand the epidemiological trends and features of PTB patients complicated with diabetes （PTB-DM） in Hanyang in order to provide evidence base for TB control strategies formulation. Methods.. Information of PTB patients registered from 2008 to 2012 in Hanyang district were analyzed. Results： The total number of PTB-DM in that was 1815 from 2008 to 2012,accounting for 9. 1% of total PTB patients over the same periods. Male and female PTB-DM accounted for 11.1 %and 5. 2 %of PTB patients of same gender respectively（P〈0. 01）. Majority was middle-aged and elderly patients over 45 years old. Among PTB-DM patients, 82 （49. 4%） cases were smear positive, 84 cases smear negative （50. 6%）, 72 cases with cavity 72（43. 4%）. The proportion of patients with smear positive result and cavity in PTB-DM cases were both significantly higher than tuberculosis cases without diabetes （P〈0. 01）. Conclusion：The PTB-DM incidence is relatively high, and mainly in middle-aged and elderly people, proportions of both smear positive and with cavity are high. All of these bring difficulties to TB control therefore there is a need to strengthen TB control work in this population. KEY WORDS Tuberculosis, Epidemiology, Diabetes mellitus, Wuhan City
出处
《医学理论与实践》
2014年第3期291-292,295,共3页
The Journal of Medical Theory and Practice
关键词
肺结核
流行病学
糖尿病
武汉市
Tuberculosis, Epidemiology, Diabetes mellitus, Wuhan City
作者简介
通讯作者：张建群
