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目的了解资兴市肺结核合并糖尿病的流行病学特征,为预防和控制肺结核提供依据。方法收集2001年-2007年的1 833例新发确诊肺结核患者为研究对象,对肺结核合并糖尿病患者的临床特征、流行病学特征及治愈情况进行描述性分析。结果资兴市肺结核合并糖尿病患者的发病率逐年上升,病例主要集中在45岁~65岁之间的中老年人,各年龄组发病差异无显著意义;肺结核合并糖尿病发病率以矿区居民最高,达122.52/10万;肺结核合并糖尿病患者主要以空洞型肺结核为主,痰菌阳性率高达85.45%;涂阳肺结核合并糖尿病患者的治愈率明显低于单纯涂阳肺结核患者。结论肺结核合并糖尿病的发病率呈逐年上升趋势,已是一个严重的公共卫生问题,应加强对肺结核合并糖尿病患者的诊治与管理。
Objective To understand the epidemiological characteristics of pulmonary tuberculosis complicated with diabetes in Zixing and provide evidence for prevention and control of pulmonary tuberculosis. Methods A total of 1833 newly diagnosed patients with pulmonary tuberculosis from 2001 to 2007 were selected as the study subjects, and the clinical features, epidemiological characteristics and cure of patients with pulmonary tuberculosis complicated with diabetes were analyzed descriptively. Results The incidence of pulmonary tuberculosis complicated with diabetes in Zixing increased year by year. The cases mainly concentrated in the middle-aged and elderly people aged 45 to 65 years. There was no significant difference in the incidence among all age groups. The incidence of tuberculosis combined with diabetes was highest in the mining area 122.52 / 100 000. The majority of patients with pulmonary tuberculosis complicated with diabetes were mainly tuberculous meningitis, the positive rate of sputum was as high as 85.45%. The cure rate of smear positive pulmonary tuberculosis with diabetes was significantly lower than that of smear positive pulmonary tuberculosis patients. Conclusion The incidence of pulmonary tuberculosis combined with diabetes is increasing year by year, which is a serious public health problem. The diagnosis, treatment and management of patients with pulmonary tuberculosis complicated with diabetes mellitus should be strengthened.