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复治肺结核合并糖尿病现状及影响因素

马艳 杜建 高微微 陈效友 韩喜琴 黄学锐 谢莉

马艳, 杜建, 高微微, 陈效友, 韩喜琴, 黄学锐, 谢莉. 复治肺结核合并糖尿病现状及影响因素[J]. 中国公共卫生, 2021, 37(9): 1400-1404. doi: 10.11847/zgggws1123713
引用本文: 马艳, 杜建, 高微微, 陈效友, 韩喜琴, 黄学锐, 谢莉. 复治肺结核合并糖尿病现状及影响因素[J]. 中国公共卫生, 2021, 37(9): 1400-1404. doi: 10.11847/zgggws1123713
MA Yan, DU Jian, GAO Wei-wei, . Prevalence and risk factors of diabetes mellitus among retreatment pulmonary tuberculosis patients[J]. Chinese Journal of Public Health, 2021, 37(9): 1400-1404. doi: 10.11847/zgggws1123713
Citation: MA Yan, DU Jian, GAO Wei-wei, . Prevalence and risk factors of diabetes mellitus among retreatment pulmonary tuberculosis patients[J]. Chinese Journal of Public Health, 2021, 37(9): 1400-1404. doi: 10.11847/zgggws1123713

复治肺结核合并糖尿病现状及影响因素

doi: 10.11847/zgggws1123713
基金项目: 国家科技重大专项项目(2008ZX10003 – 015)
详细信息
    作者简介:

    马艳(1980 – )女,安徽宿州人,副研究员,硕士,主要从事结核病预防控制工作

    通信作者:

    杜建,E-mail:jdu-sdu@163.com

    高微微,E-mail:gwwjys@sina.com

  • 中图分类号: R 521

Prevalence and risk factors of diabetes mellitus among retreatment pulmonary tuberculosis patients

  • 摘要:   目的  探讨复治肺结核合并糖尿病患者的影响因素,为制定肺结核合并糖尿病防治政策提供相关依据。  方法  2009年10月 — 2012年12月选择我国22家结核病定点医疗机构确诊并进行治疗的复治肺结核患者395例进行调查,按照是否合并糖尿病分为单纯复治肺结核组及合并糖尿病组,运用χ2检验比较两组患者在社会学特征等方面的差异,运用多因素非条件logistic回归分析肺结核合并糖尿病的危险因素。  结果  共纳入395例患者,其中合并糖尿病60例,占15.2 %;单纯肺结核患者335例,占84.8 %。两组患者在年龄(χ2 = 10.459,P = 0.005 3),体质指数(BMI)(χ2 = 15.070,P = 0.000 5),职业(χ2 = 11.620,P = 0.002 9),婚姻状况(χ2 = 9.999,P = 0.006 7)差异具有显著性。复治肺结核患者40~59岁年龄组和 ≥ 60岁年龄组,BMI < 18.5(kg/m2)及BMI ≥ 24.0(kg/m2),已婚是复治肺结核合并糖尿病的危险因素,OR(95 % CI)值分别为2.159(1.050~4.439),5.017(1.485~16.951)、4.946(1.279~8.705)、5.732(1.918~17.133)及4.476(1.248~10.504)。  结论  复治肺结核合并糖尿病与患者的年龄、体重指数、婚姻状态有关。
  • 表  1  单纯复治肺结核和复治肺结核合并糖尿病两组患者单因素分析

    特征合计单纯肺结核组(n = 335)肺结核并发糖尿病组(n = 60)χ2 P
    n% n% n%
    性别 2.112 0.146 3
     男性 300 75.9 250 74.6 50 83.3
     女性 95 24.1 85 25.4 10 16.7
    年龄(岁) 10.459 0.005 3
     18~39 167 42.3 153 45.6 14 23.3
     40~59 191 48.3 152 45.4 39 65.0
     ≥ 60 37 9.4 30 9.0 7 11.7
    BMI(kg/m2 15.07 0.000 5
     < 18.5 106 26.9 101 30.1 5 8.3
     18.5~ 245 62.0 202 60.3 43 71.7
     ≥ 24.0 44 11.1 32 9.6 12 20.0
    职业 11.620 0.002 9
     农民及外来务工人员 200 50.6 179 53.5 21 35.0
     企事业单位职工 69 17.5 50 14.9 19 31.7
     其他 a 126 31.9 106 31.6 20 33.3
    户籍 2.539 0.111 1
     本地户籍人口 275 69.6 228 68.1 47 78.3
     非本地户籍人口 120 30.4 107 31.9 13 21.7
    婚姻 9.999 0.006 7
     未婚 77 19.5 74 22.1 3 5.0
     已婚 301 76.2 246 73.4 55 91.7
     其他 b 17 4.3 15 4.5 2 3.3
    吸烟 2.334 0.311 3
     从来不 168 42.5 145 43.3 23 38.3
     过去吸现在不吸 167 42.3 143 42.7 24 40.0
     现在吸 60 15.2 47 14.0 13 21.7
    饮酒 5.122 0.077 2
     从来不 216 54.7 191 57.0 25 41.7
     过去饮酒现在不 154 39.0 123 36.7 31 51.6
     现在饮酒 25 6.3 21 6.3 4 6.7
      注: a 交通运输业人员及商业服务人员等;b离异或丧偶。
    下载: 导出CSV

    表  2  肺结核合并糖尿病的logistic多因素回归分析

    变量对照组β$ {S_{\bar x}}$Wald χ2 P OR 95 % CI
    年龄(岁)
     40~59 18~39 0.769 0.368 4.376 0.036 2.159 1.050~4.439
     ≥ 60 1.613 0.621 6.74 0.009 5.017 1.485~16.951
    BMI(kg/m2
     < 18.5 18.5~< 24.0 2.073 0.637 8.578 0.005 4.946 1.279~8.705
     ≥ 24.0 1.346 0.559 9.769 0.002 5.732 1.918~17.133
    婚姻
     已婚 未婚和其他 b 1.499 0.652 5.291 0.021 4.476 1.248~10.504
      注:b 离异或丧偶。
    下载: 导出CSV
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出版历程
  • 接收日期:  2019-04-03
  • 网络出版日期:  2019-10-08
  • 刊出日期:  2021-09-01

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