鹰潭市83例肺结核合并糖尿病患者的流行病学特征分析

摘要:目的　分析鹰潭市肺结核合并糖尿病（TB-DM）患者的流行病学特征，为制定相关的防治策略提供依据。方法　选取2005-2013年鹰潭市3县（区）肺结核患者病案资料，对TB-DM患者的临床特征、转归情况以及流行病学特征进行回顾性研究。结果　TB-DM患者登记率从2005年的0.64/10万上升至2013年的1.27/10万（P＞0.05），占同期登记肺结核患者总数的比例从0.45％上升至1.80％（P＜0.05）；男性高于女性，发病年龄以55～75岁为主（占66.3％），合并比例随年龄增大而增加；TB-DM患者涂阳率56.6％、空洞率49.4％、治疗成功率78.3％；糖尿病先于结核病发病比例（89.2％）高于结核病先于糖尿病（10.8％）。结论　TB-DM发病率呈现逐年上升趋势，两病相互影响、互为因果，应加强两病双向筛查工作，提高两病的治疗和管理水平。

Analysis of 83 cases of pulmonary tuberculosis patients complicated with diabetes mellitus epidemiological characteristics in Yingtan

Abstract: Objective To study the tuberculosis combined with diabetes (TB-DM) characteristics and epidemic trends in Yingtan City, in order to provide basis for the related prevention and control strategy. Methods Through selecting 3 county (District) from Yingtan City of medical records of patients with pulmonary tuberculosis from 2005 to 2013, we studied retrospectively the clinical features, prognosis and epidemiological characteristics of the patients with TB-DM. Results The registration rate of patients with TB-DM increased from 0.64/10 million in 2005 to 1.27/10 million in 2013 (P>0.05), and the proportion of the total number of patients registered pulmonary tuberculosis increased from 0.45% to 1.80% (P<0.05), with a higher value in males. The age of onset was mainly between 55-75 years old mainly (66.3%). Complication ratio increased with age. TB-DM patients with smear positive accounted for 56.6%, while the rate of hole was 49.4%, and the rate of success treatment was 78.3%. The proportion of onset of diabetes before the tuberculosis (89.2%) was higher than that of the TB before diabetes (10.8%). Conclusion The incidence of TB-DM was increasing year by year, and two diseases influenced each other. We should strengthen two-way two disease screening works, and improve the treatment and management level of the two disease.