Ⅱ型糖尿病合并肺结核的相关危险因素分析

doi:10.3969/j.issn.1006-6233.2017.06.015

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摘要 目的: 分析Ⅱ型糖尿病(T2DM)合并肺结核的相关危险因素。方法: 将2009年1月至2014年1月收治的135例T2DM合并肺结核患者视为观察组(n=135),另选择同时期138例单纯T2DM患者视为对照组(n=138),对两组患者的临床资料进行回顾性分析。结果: 经过Logistic回归分析,糖尿病病程、运动情况、居住情况、饮食情况、用药规范情况、肺结核接触史、血糖检测与控制、肾功能受损、肝功能受损以及脂代谢紊乱是Ⅱ型糖尿病合并肺结核并发的相关危险因素。结论: 较长的糖尿病病程、较少的户外运动、用药不规范、较差的居住和饮食情况、有肺结核接触史、肾功能受损、肝功能受损以及脂代谢紊乱使得Ⅱ型糖尿病患者容易并发肺结核;为改善患者预后,建议对Ⅱ型糖尿病并发肺结核患者进行系统健康教育。

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	苏晓辉
	孔征
	王曼

关键词 ： Ⅱ型糖尿病, 肺结核, 危险因素, Logistic回归分析

Abstract：Objective: To analyze the related risk factors of type Ⅱ diabetes mellitus (T2DM) complicated with pulmonary tuberculosis. Method: 135 cases of T2DM complicated with pulmonary tuberculosis patients admitted in our hospital from January 2009 to January 2014 were selected as the observation group (n=135), and the other 138 cases of patients with T2DM during the same period as the control group (n=138). The clinical data of patients of two groups were retrospectively analyzed. Results: By Logistic regression analysis, diabetes, exercise, living conditions, diet, medication, specification of pulmonary tuberculosis contact history, blood glucose monitoring and control, impaired renal function, impaired liver function and lipid metabolism disorder was related to risk of type II diabetes complicated with pulmonary tuberculosis factors. Conclusion: The longer the duration of diabetes, less outdoor sports, the medication is not standardized, poor living and diet, have tuberculosis contact history, impaired renal function, impaired liver function and lipid metabolism disorders that type II diabetes patients complicated with pulmonary tuberculosis easily; to improve the prognosis of patients, suggest systematic health education on the patients with type II diabetes mellitus pulmonary tuberculosis.

Key words： Diabetes TypeⅡ Tuberculosis Risk factors Logistic regression analysis

引用本文:

苏晓辉, 孔征, 王曼. Ⅱ型糖尿病合并肺结核的相关危险因素分析[J]. 河北医学, 2017, 23(6): 931-934.
SU Xiaohui, KONG Zheng, WANG Man. Analysis of Related Risk Factors of Type 2 Diabetes Mellitus Complicated with Pulmonary Tuberculosis. 河北医学, 2017, 23(6): 931-934.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2017.06.015 或 http://www.hbyxzzs.cn/CN/Y2017/V23/I6/931

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