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[目的]研究海口市肺结核患者并发糖尿病的流行病学趋势及特征。[方法]选取2003～2008年全球基金海口市结核病控制项目新登记肺结核患者,分析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2003年的0.60/10万上升2008年的1.80/10万,年递增率24.6%;占患者总数的构成比从1.21%上升到4.12%,地区间存在显著差异,构成比和新登记率市区高于郊区,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66.29%,复发比例也以并发患者较高。[结论]糖尿病对海口市的结核病疫情控制影响显著,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方案研究。
[Objective] To study the epidemiological trends and characteristics of pulmonary tuberculosis complicated with diabetes in Haikou city. [Method] Select the newly registered tuberculosis patients from 2003 to 2008 in the Global Fund Haikou Tuberculosis Control Project, and analyze the constituent ratio and newly registered rate of patients with concurrent pulmonary tuberculosis. [Results] The new registration rate of patients with concurrent pulmonary tuberculosis increased from 0.60 / 100,000 in 2003 to 1.80 / 100,000 in 2008, with an annual increment rate of 24.6%; the proportion of the total number of patients increased from 1.21% to 4.12% Significant differences, constituent ratios and new registration rates were higher in urban areas than in suburban areas, and the proportion of concurrent patients increased with age. Women were higher than men. The positive rate of sputum bacteria was 66.29% in patients with diabetes mellitus compared with normal patients. The recurrence rate Also higher in patients with concurrent. [Conclusion] Diabetes affects the control of tuberculosis in Haikou City significantly. It is necessary to strengthen the diagnosis of diabetes in patients with pulmonary tuberculosis and to carry out specific studies on short-course chemotherapy.