湖南省资兴市肺结核合并糖尿病流行病学特征分析

An Analysis of the Epidemiological Characteristics of Pulmonary Tuberculosis Merge with Diabetes in Zixing City Hunan Province

目的了解资兴市肺结核合并糖尿病的流行病学特征,为预防和控制肺结核提供依据。方法收集2001年-2007年的1 833例新发确诊肺结核患者为研究对象,对肺结核合并糖尿病患者的临床特征、流行病学特征及治愈情况进行描述性分析。结果资兴市肺结核合并糖尿病患者的发病率逐年上升,病例主要集中在45岁～65岁之间的中老年人,各年龄组发病差异无显著意义;肺结核合并糖尿病发病率以矿区居民最高,达122.52/10万;肺结核合并糖尿病患者主要以空洞型肺结核为主,痰菌阳性率高达85.45%;涂阳肺结核合并糖尿病患者的治愈率明显低于单纯涂阳肺结核患者。结论肺结核合并糖尿病的发病率呈逐年上升趋势,已是一个严重的公共卫生问题,应加强对肺结核合并糖尿病患者的诊治与管理。

Objective To provide scientific foundation for the prevention and control of the pulmonary tuberculosis merge with diabetes by understanding the epidemiological characteristics of this disease.Methods We have collected 1833 the newly diagnosis pulmonary tuberculosis（TB） patients from the year 2001 to 2007 as our research subjects and made a descriptive statistical analysis of the subject,age,gender,distribution of areas,the clinical Features and the cured cases.Results We have found that the rate of the TB patients has been increasing year by year,mainly concentrating on the age group of 45 to 65,and there are no obvious differences between different age groups and the people living in the mining ares,which is as high as 122.52 per 100,000.The TB diabetes patients are mainly empty tuberculosis sufferers,of whom the sputum-positive rate is as high as 85.45 %.The rate of the positive TB merge with diabetes patients being cured is much lower than that of the positive TB patients.Conclusion The rate of the people who suffer from the TB merge with diabetes has been increasing year by year and has already become a serious public health problem,and we should strengthen the treatment and management on the TB merge with diabetes patients..