2型糖尿病合并肺结核危险因素的分析  

Analysis of risk factors for pulmonary tuberculosis development in type 2 diabetes mellitus

作　　者：姚公元 黄小平 张胜男[2] 何红[2] 苏建军[2] 颜宁 

机构地区：[1]深圳市福田区第二人民医院,430070 [2]深圳市福田区慢性病防治院

出　　处：《中国糖尿病杂志》2009年第10期781-783,共3页Chinese Journal of Diabetes

摘　　要：目的探讨2型糖尿病(T2DM)患者并发肺结核的危险因素。方法对T2DM合并肺结核170例(试验组)和单纯T2DM 172例(对照组)进行回顾性分析。结果两组在DM病程、居住条件、适量运动、有无肺结核接触史、饮食控制、规则药物治疗、血糖检测与控制、肾功能受损、脂代谢紊乱、肝功能受损方面均有统计学差异(P均<0.01)。Logistic回归分析显示,上述因素对DM合并肺结核的发生具有显著性影响(P均<0.05)。结论 DM病程长、居住条件差、户外运动少、有肺结核接触史、饮食控制差、脂代谢紊乱以及肾、肝功能受损,易于并发肺结核。Objective To explore risk factors for development of pulmonary tuberculosis（TB） in patients with type 2 diabetes mellitus（DM）. Methods 172 type 2 DM patients were chosen as the control group for retrospective study. Results Group DM4-TB versus group DM showed significant differences in parametes of DM duration, housing qualification, amount exercise, history of TB contact, beneficial control of diet, regular treatment in medicine, the dynamic examination of blood sugar, blood sugar control, the damage of kidney, as welt as the fat metabolic disturbance. The logistic regression analysis demonstrated that the above factors had significant influences to pulmonary tuberculosis in type 2 diabetes mellitus patients （P 〈 0.01 or〈 0. 05 ） . Conclusions The risk factors of pulmonary tuberculosis among type 2 diabetes mellitus patients are long DM duration, poor housing condition, small amount exercise, history of TB contact, bad control of diet and treatment in medicine, bad blood sugar control, the damage of kidney, as well as the fat metabolism disorder.

关 键 词：糖尿病 2型 结核 肺 

分 类 号：R587.1[医药卫生—内分泌] R969.1[医药卫生—内科学]