结核与肺部疾病杂志 ›› 2022, Vol. 3 ›› Issue (1): 65-69.doi: 10.19983/j.issn.2096-8493.20210121

• 综述 • 上一篇    下一篇

糖尿病与肺结核共病的临床研究进展

董航1, 杜映荣2()   

  1. 1大理大学公共卫生学院,大理 671000
    2昆明市第三人民医院,昆明 650200
  • 收稿日期:2021-09-27 出版日期:2022-02-20 发布日期:2022-02-24
  • 通信作者: 杜映荣 E-mail:dyr_km@163.com

Progress in clinical research on comorbidity of pulmonary tuberculosis and diabetes mellitus

DONG Hang1, DU Ying-rong2()   

  1. 1School of Public Health, Dali University, Dali 671000, China
    2The Third People’s Hospital of Kunming,Kunming 650200,China
  • Received:2021-09-27 Online:2022-02-20 Published:2022-02-24
  • Contact: DU Ying-rong E-mail:dyr_km@163.com

摘要:

糖尿病在内科系统疾病中是临床常见病,结核病是发展中国家危害人民生命健康安全的重要传染病,在糖尿病患者中结核病的患病率较一般人群高。糖尿病与肺结核共病(diabetes comorbidity with tuberculosis,DM-PTB)严重威胁人类健康,易形成糖尿病和肺结核的“恶性循环”,为二者的公共卫生防治带来了“双重挑战”。因此,作者针对DM-PTB的患病率、可能的发病机制、流行病学变化、临床特点、筛查与诊断、抗结核和降血糖的临床治疗策略与预防管理措施进行综述,为DM-PTB的临床诊断和治疗,以及疾病控制和预防提供科学的参考依据和可行性建议。

关键词: 糖尿病, 结核,肺, 共病现象, 综合治疗, 疾病管理

Abstract:

Diabetes is a common clinical medical diseases, while tuberculosis is an important infectious disease that endangers people’s lives and health in developing countries. The prevalence of tuberculosis in diabetic patients is higher than the general population. Diabetes comorbidity with tuberculosis (DM-PTB) is a serious threat to human health and is prone to form a “vicious circle”, posing “dual challenges” to the public health prevention and control for both of the diseases. Therefore, we reviewed the prevalence, possible pathogenesis, epidemiological trends, clinical features, screening and diagnosis, anti-tuberculosis and anti-diabetic clinical treatment strategies and preventive management measures of DM-PTB, to provide scientific reference and feasible suggestion for the clinical diagnosis and treatment, disease control and prevention of it.

Key words: Diabetes mellitus, Tuberculosis,pulmonary, Comorbidity, Comprehensive treatment, Disease management

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