社区糖尿病患者结核病筛查的可行性分析

Feasibility analysis of tuberculosis screening in diabetes mellitus patients in community

糖尿病患者是结核病的高危人群,长期的高血糖可使机体抵抗力下降,容易感染结核,而感染结核后,又加速了糖尿病的病程,增加了2种疾病治疗和控制的难度,因此在糖尿病患者中开展结核病筛查以尽早发现结核病患者,实行"三早"治疗,能极大地提高患者的生存质量。该文主要综述了近年来在社区糖尿病患者中开展结核病主动筛查的可行性,为糖尿病合并结核病的防控工作提供参考。

Diabetes mellitus patients are usually at high risk of developing tuberculosis,the immune dysfunction caused by long-term high blood sugar,which can increase the susceptibility to tuberculosis.Severe tuberculosis could accelerate the course of diabetes mellitus and pose great difficulty to the clinical treatment.Therefore,early detection of potential tuberculosis patients in diabetes mellitus patients through tuberculosis screening and implementation of“three early”treatment can greatly improve the quality life of patients.This review summarizes the feasibility of tuberculosis screening in patients with diabetes mellitus,and to provide reference for the prevention and control of diabetes mellitus combined with tuberculosis.