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目的了解2 0 1 4年天津市肺结核合并糖尿病的流行病学特征,为开展相关防控工作提供相应的依据。方法收集2 0 1 4年天津市上报的结核病患者的资料,描述肺结核合并糖尿病患者的流行病学特征。结果 2 0 1 4年天津市共上报3 2 7 2例结核病患者,其中肺结核患者2 9 1 2例、结核性胸膜炎3 2 0例、其他肺外结核4 0例,肺结核合并糖尿病患者3 3 9例,男性患者2 7 4例(8 0.8 3%),女性患者6 5例(1 9.1 7%),男性明显多于女性,差异有统计学意义(χ2=2 2.8 2 0,P<0.0 1)。结核合并糖尿病患者中初治阳性率明显高于肺结核无合并糖尿病的初治阳性率,差异有统计学意义(χ2=3 4.7 3 6,P<0.0 1)。结论结核病合并糖尿病增加了肺结核的防控和治疗的难度,因此要更加注重这类人群,早发现、早诊断、早治疗做好两病的防控。
Objective To understand the epidemiological characteristics of pulmonary tuberculosis complicated with diabetes in Tianjin in 2014 and provide the basis for the prevention and control work. Methods The data of tuberculosis patients reported in Tianjin in 2014 were collected to describe the epidemiological characteristics of patients with tuberculosis complicated with diabetes. Results In Tianjin, a total of 3 272 cases of tuberculosis were reported in Tianjin in 2014, including 2912 cases of tuberculosis, 320 cases of tuberculous pleurisy, 40 cases of other extrapulmonary tuberculosis, 399 cases of pulmonary tuberculosis complicated with diabetes There were 274 male patients (0.883%) and 65 female patients (9.17%), which were significantly higher in males than in females (χ2 = 2 2.820, P <0.01) ). The positive rate of newly diagnosed tuberculosis patients with diabetes was significantly higher than that of newly diagnosed tuberculosis without diabetes, the difference was statistically significant (χ2 = 3 4.736, P <0.01). Conclusion Tuberculosis combined with diabetes increased the difficulty of prevention and treatment of tuberculosis. Therefore, more attention should be paid to such groups of people. Early detection, early diagnosis and early treatment should be taken to prevent and control both diseases.