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钟萍. 2型糖尿病并发肺结核影响因素分析[J]. 中国公共卫生, 2013, 29(12): 1852-1854. DOI: 10.11847/zgggws2013-29-12-44
引用本文: 钟萍. 2型糖尿病并发肺结核影响因素分析[J]. 中国公共卫生, 2013, 29(12): 1852-1854. DOI: 10.11847/zgggws2013-29-12-44
ZHONG Ping. Influence factors of type 2 diabetes complicated with pulmonary tuberculosis[J]. Chinese Journal of Public Health, 2013, 29(12): 1852-1854. DOI: 10.11847/zgggws2013-29-12-44
Citation: ZHONG Ping. Influence factors of type 2 diabetes complicated with pulmonary tuberculosis[J]. Chinese Journal of Public Health, 2013, 29(12): 1852-1854. DOI: 10.11847/zgggws2013-29-12-44

2型糖尿病并发肺结核影响因素分析

Influence factors of type 2 diabetes complicated with pulmonary tuberculosis

  • 摘要: 目的研究糖尿病患者合并肺结核的相关因素,为糖尿病患者中肺结核的预防与控制提供参考依据。方法采用问卷调查的方式调查2008年5月—2013年6月在广西柳州市人民医院就诊的5 711例糖尿病患者并发肺结核情况并分析并发肺结核的影响因素。结果糖尿病患者并发肺结核患病率为6.39%(365/5 711),不同年龄和地区糖尿病患者并发肺结核患病率不同(均P<0.05);多因素logistic回归分析结果显示,年龄大(OR=1.087)、农村(OR=2.931)、体质指数高(OR=1.114)、吸烟(OR=1.560)、接触有毒物质(OR=1.137)、有肺结核患者接触史(OR=1.226)及摄入腌制食物过多(OR=1.015)是导致糖尿病患者并发肺结核的危险因素,而多食蔬菜瓜果(OR=0.519)为保护因素(均P<0.05)。结论可通过控制体质指数及改善生活方式(如戒烟、多食蔬菜瓜果)等行为来降低糖尿病患者并发肺结核的风险,对并发肺结核患者进行系统健康教育可显著改善患者的预后。

     

    Abstract: Objective To explore related factors of diabetic patients complicated with pulmonary tuberculosis for prevention and control of tuberculosis among diabetic patients.Methods Totally 5 711 diabetic out-patients presenting at Liuzhou People's Hospital participated the questionnaire survey between May 2008 and June 2013.Results The prevalence rate of tuberculosis in the diabetic patients was 6.39%(365/5 711),and the prevalence rates were different among the patients of different age and living residence(all P<0.05).Multivariate logistic regression analyses showed that older age(odds ratioOR=1.087),living in rural area(OR=2.931),higher body mass index(BMI)(OR=1.14),smoking(OR=1.560),exposure to toxic substances(OR=1.137),history of contact to pulmonary tuberculosis patient(OR=1.226)and higher preserved food intake(OR=1.015)were risk factors for suffering from tuberculosis among the diabetic patients,whereas increased dietary vegetables and fruits intake was protective factor(OR=0.519)(all P<0.05).Conclusion Risk of tuberculosis can be reduced through reducing BMI,taking healthy lifestyle(such as to quit smoking and to eat more fruits and vegetables)among diabetic patients.

     

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