糖尿病合并肺结核患者相关因素分析

Analysis of the Related Factors for Development of Pulmonary Tuberculosis Among Diabetes Mellitus Patients

目的:探讨糖尿病患者并发肺结核的相关因素,为临床糖尿病患者肺结核的防治提供客观证据。方法:选择2型糖尿病合并肺结核患者87例作为观察组,单纯2型糖尿病患者84例作为对照组,对比两组糖尿病病程、血糖控制情况、近3个月糖化血红蛋白(HbA1c)、糖尿病家族史、饮食情况、糖尿病并发症、饮酒、吸烟、结核病传染源接触史、结核病家族史、近3月来应激事件、日常体育锻炼、体重指数等因素之间的差异。结果:观察组与对照组在糖尿病家族史、是否饮酒、近3个月内应激事件等方面无统计学差异(P均>0.05);在糖尿病病程、日常血糖控制、HbA1c、饮食控制、糖尿病并发症、是否吸烟、结核接触史、结核家族史、日常体育锻炼、体重指数等方面差异显著(P均<0.05),具有统计学意义。其中日常血糖控制、饮食控制、糖尿病并发症、是否吸烟、结核接触史、结核家族史、日常体育锻炼等为糖尿病合并肺结核的独立危险因素。结论:严格控制血糖及饮食、积极治疗并发症、戒烟、加强肺结核相关知识的宣传教育、坚持适当体育锻炼对糖尿病合并肺结核的预防具有重要意义。

Objective：To discuss the related factors for the development of pulmonary tuberculosis among diabetes mellitus patients.Methods：71 patients with type 2 diabetes mellitus（T2DM） were devided into the observation group（87 cases） and the control group（84 cases） depending on whether complicated with pulmonary tuberculosis.And then 13 factors were contrasted between the two groups.Results：There was no significantly difference on family history of diabetes,drinking,and stress events nearly three months between the two groups（P〉0.05）;but there were significantly differences on duration of diabetes,daily blood glucose control,HbA1c,diet control,complications of diabetes,smoking,history of exposure to tuberculosis,tuberculosis family history,and daily physical exercise between the two groups（P〈0.05）;and daily blood glucose control,diet control,complications of diabetes,smoking,history of exposure to tuberculosis,tuberculosis family history,and daily physical exercise between the two groups were all independent risk factors for diabetic patients with tuberculosis.Conclusion：Controlling glycemic and diet strictly,treat the complications of diabetes aggressively,quiting smoking,strengthening publicity and education of the tuberculosis knowledge,adhering to proper physical exercise have important significance for the prevention of diabetic patients with tuberculosis.