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目的了解上海市肺结核患者并发糖尿病的流行病学趋势及特征。方法研究对象为１９９２～１９９７年全市新登记肺结核患者。统计并发糖尿病肺结核患者的构成比和新登记率。结果并发糖尿病肺结核患者新登记率从１９９２年的０．７０／１０万上升至１９９７年的２．１０／１０万，年递增率达到２４．５７％，占患者总数的构成比从１．６４％上升至４．８６％。地区间存在显著差异，构成比和新登记率市区高于郊区，郊区高于郊县。并发比例随着年龄的增大而增加，女性高于男性。与一般患者比较，并发糖尿病患者的痰菌阳性率高达４８％，Ⅲ型患者比例高达８６％，而且Ⅲ和Ⅳ型患者中有空洞的比例也高达３３％，均存在显著性差异。复发比例也以并发患者较高。结论糖尿病对上海市的结核病疫情影响显著，应加强对肺结核患者的糖尿病的诊断，开展针对性的短程化疗研究
Objective To understand the epidemiological trends and characteristics of pulmonary tuberculosis complicated with diabetes in Shanghai. Methods The object of study was new registered TB patients from 1992 to 1997 in the city. Statistical comparisons of patients with diabetes tuberculosis composition ratio and new registration rate. Results The new registration rate of patients with concurrent pulmonary tuberculosis increased from 0.70 / 100 000 in 1992 to 2.10 / 100 000 in 1997, with an annual increment rate of 24.57%, accounting for 1.64% of the total number of patients. Rose to 4.86%. There are significant differences between the regions, constituent ratio and new registration rate in urban areas than in rural areas, suburbs than in rural areas. The proportion of concurrent increase with age, women than men. Compared with normal patients, the positive rate of sputum bacterium in patients with diabetes was as high as 48%, the rate of type Ⅲ patients was as high as 86%, and the percentage of patients with type Ⅲ and type Ⅳ was as high as 33%. There were significant differences. The recurrence rate is also higher in patients with concurrent. Conclusion Diabetes has a significant impact on the epidemic of tuberculosis in Shanghai. Diabetes mellitus should be diagnosed in patients with pulmonary tuberculosis and targeted short-course chemotherapy should be carried out