目的：了解汉阳区肺结核合并糖尿病（PTB-DM ）流行病学情况，为制定相关的防治策略提供依据。方法：统计分析汉阳区结防所门诊登记2008-2012年肺结核登记的资料。结果：2008-2012年汉阳区结防门诊登记PTB-DM患者166例，占同期登记肺结核患者总数的比例5年平均9．1％。男性PTB-DM 占肺结核登记人数中男性患者的构成比11．1％，女性构成比5．2％（P＜0．01）。PTB-DM患者以中老年为主，45岁后两病并发率大幅上升。在PTB-DM患者中，痰涂片阳性者82例（49．4％）、痰涂片阴性84例（50．6％）、出现空洞72例（43．4％）。PTB-DM患者的涂阳率和空洞率均高于无合并糖尿病的肺结核患者（P＜0．01）。结论：PTB-DM 发生率较高，以中老年发病为主，涂阳率和空洞率均较高，给结核病控制带来一定的困难，要加强这一人群的防治工作。%Objective :To understand the epidemiological trends and features of PTB patients complicated with diabetes (PTB-DM ) in Hanyang in order to provide evidence base for TB control strategies formulation .Methods :Information of PTB patients registered from 2008 to 2012 in Hanyang district were analyzed .Results :The total number of PTB-DM in that was 1815 from 2008 to 2012 ,accounting for 9 .1% of total PTB patients over the same periods .Male and female PTB-DM accounted for 11 .1% and 5 .2% of PTB patients of same gender respectively (P<0 .01) .Majority was mid-dle-aged and elderly patients over 45 years old .Among PTB-DM patients ,82 (49 .4% ) cases were smear positive ,84 cases smear negative (50 .6% ) ,72 cases with cavity 72(43 .4% ) .The proportion of patients with smear positive result and cavity in PTB-DM cases were both significantly higher than tuberculosis cases without diabetes (P<0 .01) .Conclu-sion:The PTB-DM incidence is relatively high ,and mainly in middle-aged and elderly people ,proportions of both smear positive and with cavity are high .All of these bring difficulties to TB control therefore there is a need to strengthen TB control work in this population .
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