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流动人口结核病合并糖尿病发病情况调查及防治对策

谢满容 肖凌文 卢灿辉

中国全科医学2013,Vol.16Issue(2):176-177,2.
中国全科医学2013,Vol.16Issue(2):176-177,2.DOI:10.3969/j.issn.1007-9572.2013.01.054

流动人口结核病合并糖尿病发病情况调查及防治对策

Prevalence of Tuberculosis Accompanied with Diabetes Mellitus among Floating Populations in An Urban District in Guangzhou and Its Control

谢满容 1肖凌文 1卢灿辉1

作者信息

  • 1. 510425,广东省广州市白云区黄石街社区卫生服务中心
  • 折叠

摘要

Abstract

Objective To analyze the prevalence of tuberculosis ( TB ) accompanied with diabetes mellitus ( DM ) a-mong floating populations in Baiyun District, Guangzhou. Methods The demographic and clinical data of 57 TB patients with DM who had registry information in Baiyun District in 2011 were retrospectively analyzed. They were divided into two groups based on their Hukou ( the household registration system in Mainland China ): the local population ( LP ) group ( n = 27 ) and the floating population ( FP ) group ( n =30 ). Results The age composition significantly differed between these two groups ( P < 0. 05 ): the majority ( 67% ) of patients in the FP group were aged 30 -50 years, whereas nearly half ( 52% ) of the patients in LP group aged 51 -65 years. The DM awareness rate was 57% ( 17/30 ) in the FP group and 89% ( 24/27 ) in the LP group ( X2 = 7. 308, P <0. 05 ). Of these 57 patients, sputum smear tests showed positive results in 42 patients ( 73. 7% ), among whom mildly abnormal blood glucose ( 7. 0 - 1 1. 1 mmol/L ) was detected in 12 patients and obviously abnormal blood glucose ( > 11. 1 mmol/L ) in 30 patients. Among 15 patients with negative sputum smear test results, the blood glucose was mildly abnormal in 10 cases and obviously abnomral in 5 cases ( X2 = 6. 768, P < 0. 05 ). Conclusion The TB patients with DM in the floating population tend to be young and mid - aged, and usually have limited knowledge about these conditions. Health education on TB and DM should be enhanced among the floating populations. Meanwhile, DM screening should be integrated in TB control program. For these patients, free treatment of DM may be beneficial for both the treatment and prevention of TB.

关键词

结核/糖尿病/合并症/流动人口

Key words

Tuberculosis/Diabetes mellitus/Complication/Floating population

分类

医药卫生

引用本文复制引用

谢满容,肖凌文,卢灿辉..流动人口结核病合并糖尿病发病情况调查及防治对策[J].中国全科医学,2013,16(2):176-177,2.

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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