摘要
目的分析2016—2020年内蒙古自治区(内蒙古)登记的肺结核合并糖尿病(TB-DM)患者流行病学特征,为制定此类特殊人群肺结核防治措施提供依据。方法从结核病管理信息系统中收集内蒙古2016—2020年登记的TB-DM患者信息,包括性别、年龄、职业、患者来源,治疗转归,初、复治等,用SPSS 20.0软件进行流行性分析。结果2016—2020年内蒙古共登记TB-DM患者1526例,平均年登记率为1.22/10万(1526/12527.2万),占总肺结核患者数的2.94%,TB-DM中,男性1124例,女性402例,男女性别比为2.80∶1,高于未合并糖尿病的肺结核患者男女比例1.96∶1(χ^(2)=36.560,P<0.001);TBDM患者职业分布以农民为主,占53.74%;其次为家政、家务及待业人员,占18.41%,与未合并糖尿病的肺结核患者职业分布一致;TB-DM患者来源以直接就诊为主,占48.95%,其次为转诊患者,占27.65%,未合并糖尿病的肺结核患者来源以直接就诊为主,占39.24%,其次是追踪到位,占27.28%;TB-DM患者以初治为主,占83.48%,复治占16.52%,与未合并糖尿病的肺结核患者基本一致;TB-DM患者治疗成功率为92.90%,低于未合并糖尿病的肺结核患者治疗成功率96.09%(χ^(2)=38.661,P<0.001);东部地区、西部的阿拉善盟以及中部的乌兰察布市的TB-DM患者年均登记率处于较高水平,西部的巴彦淖尔市与乌海市年均登记率处于较低水平。结论2018—2020年内蒙古TB-DM患者数及登记率均呈上升趋势,并且占肺结核总患者数的比例也呈上升趋势,对此类特殊人群要重点防控。
Objective The epidemiological characteristics of patients suffering from tuberculosis combined with diabetes mellitus(TB-DM)registered in the Inner Mongolia Autonomous Region(Inner Mongolia)from 2016 to 2020 were analyzed to provide a basis for formulating measures to prevent and treat TB in this special population group.Methods The basic information,including gender,age,occupation,patient origin,treatment outcome,initial and retreatment,of pulmonary TB patients complicated with diabetes registered in Inner Mongolia from 2016 to 2020 were collected from the Infectious Disease Surveillance System.Software SPSS 20.0 was used for epidemiological analysis.Results From 2016 to 2020,a total of 1526 pulmonary TB patients complicated with diabetes were registered in Inner Mongolia with the average annual registration rate of 1.22/100000(1526/125272000),accounting for 2.94%of the total number of pulmonary TB patients.Among the pulmonary TB patients complicated with diabetes,1124 were men and 402 were women.The ratio of male to female was 2.80:1,higher than 1.96:1 in pulmonary TB patients without diabetes(χ^(2)=36.560,P<0.001).The pulmonary TB patients complicated with diabetes were mainly farmers,accounting for 53.74%,followed by the jobless or the unemployed,accounting for 18.41%,consistent with the occupation distribution of pulmonary TB patients without diabetes.The pulmonary TB patients with diabetes were mainly detected in their medical care seeking in hospitals,accounting for 48.95%,followed by referral(27.65%).The pulmonary TB patients without diabetes were mainly detected in their medical care seeking in hospitals,accounting for 39.24%,followed by follow up(27.28%).In the pulmonary TB patients complicated with diabetes,the initial treatment rate was 83.48%,and the retreatment rate was 16.52%,similar to the rates in pulmonary TB patients without diabetes.The success treatment rate was 92.90%in the pulmonary TB patients with diabetes and 96.09%in the pulmonary TB patients without tuberculosis(χ^(2)=38.661,P<0.001).The average annual registration rates of pulmonary TB patients complicated with diabetes in the eastern Inner Mongolia,Alxa in western Inner Mongolia and Ulanqab in central Inner Mongolia were at high levels,while the rates in Bayannur and Wuhai in the western Inner Mongolia were at low levels.Conclusion From 2018 to 2020,the number and registration rate of pulmonary TB patients complicated with diabetes in Inner Mongolia showed increasing trends,and the proportion of the pulmonary TB patients complicated with diabetes in total pulmonary TB patients showed an increasing trend too.Different prevention and control measures should be taken for the prevention and control of pulmonary TB in special population.
作者
郎胜利
徐丽娟
郭威
郭梦玥
马俊清
Lang Shengli;Xu Lijuan;Guo Wei;Guo Mengyue;Ma Junqing(Inner Mongolia Autonomous Region Comprehensive Center for Disease Control and Prevention,Hohhot 010080,Inner Mongolia,China;School of Public Health,Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou 014000,Inner Mongolia,China;Chifeng Prefectural Center for Disease Control and Prevention,Chifeng 024000,Inner Mongolia,China)
出处
《疾病监测》
CAS
CSCD
北大核心
2023年第3期310-314,共5页
Disease Surveillance
基金
内蒙古自治区卫生健康委员会2022年度医疗卫生科技计划(No.202202112,No.202202113)。
关键词
糖尿病
肺结核
流行
内蒙古自治区
Diabetes
Pulmonary tuberculosis
Epidemic
Inner Mongolia Autonomous Region
