摘要
目的根据上海市普陀区2012—2016年管理的糖尿病患者并发肺结核情况,探索糖尿病并发肺结核的防治策略。方法收集2012—2016年普陀区糖尿病患者登记信息以及2012年1月1日—2019年9月30日结核病患者病案登记信息,对糖尿病患者肺结核发病情况进行匹配,分析糖尿病患者肺结核发病情况及发病影响因素。结果糖尿病患者2012—2016年的标化肺结核登记发病率为151.45/10万~951.49/10万,较一般人群有更高的肺结核发病风险。男性、确诊糖尿病时年龄较低、BMI较低、不规律服用降糖药物的糖尿病患者更容易患肺结核。合并糖尿病的结核病患者涂片阳性率为50.5%,显著高于未合并糖尿病的患者。结论对于低龄人群进行早期糖尿病风险排查及促进健康生活方式,有助于降低肺结核的发病率。
Objective To investigate the prevention and treatment strategies of diabetes comorbiditied with pulmonary tuberculosis(TB)in Shanghai Putuo District from 2012 to 2016.Methods Data of Diabetes Patients Registration in Putuo District from 2012 to 2016 and TB Patients Registration from Jan 1,2012 to Sep 30,2019 were collected to analyze the incidence of pulmonary TB in diabetic patients and its influencing factors.Results The standardized registered incidence rate of pulmonary TB among diabetic patients from 2012 to 2016 ranged from 151.45 per 100000 to 951.49 per 100000,which was higher than that of the general population.Male patients with lower BMI,who were younger at the time of diagnosis and were not regularly taking diabetes drugs,were more likely to develop pulmonary TB.The positive rate of sputum smear was 50.5%in pulmonary TB patients with diabetes,which was significantly higher than that in patients without diabetes.Conclusion Early screening in the younger group for risk of diabetes and promotion of healthy lifestyle can help reduce the incidence of pulmonary TB.
作者
王胜难
郑亦慧
史琰琰
单灵莺
刘艳
WANG Sheng-nan;ZHENG Yi-hui;SHI Yan-yan;SHAN Ling-ying;LIU Yan(Department of Prevention and Control of Chronic Infectious Diseases,Shanghai Putuo District Center for Disease Control and Prevention,Shanghai 200333,China)
出处
《复旦学报（医学版）》
CAS
CSCD
北大核心
2021年第1期55-58,共4页
Fudan University Journal of Medical Sciences
基金
2018年度上海市普陀区公共卫生重点学科建设项目(2018ptggwsz01)。
关键词
肺结核
糖尿病
发病率
危险因素
筛查
pulmonary tuberculosis
diabetes
incidence
risk factor
screening
