Ⅱ型糖尿病合并重症肺结核发生风险的研究进展

doi:10.19983/j.issn.2096-8493.20250009

摘要/Abstract

摘要：

Ⅱ型糖尿病和肺结核均属于消耗性疾病,二者相互存在,相互影响。近年来,全球范围内糖尿病患者的数量呈现出不断增长的态势,给结核病的控制工作带来了严重威胁。糖尿病患者往往存在着代谢紊乱的问题,同时还容易出现营养不良状况,其自身的免疫功能也会遭到损害,而这些因素致使他们更容易并发肺结核。Ⅱ型糖尿病合并肺结核由于病程长、病情复杂,以及糖尿病疾病本身的特殊性,易诱发感染以及原发病灶的复发或者加重,使病情进展迅速、治疗效果差、耐药率高,继而发展为重症肺结核。本文通过对Ⅱ型糖尿病与重症肺结核的流行特征、发生机制和易感性机制、相互作用及护理管理等方面进行综述,为糖尿病合并重症肺结核的健康管理和实践提供依据。

关键词: 糖尿病,2型, 结核,肺, 危险因素, 综述

Abstract:

Type Ⅱ diabetes and pulmonary tuberculosis belong to consumptive diseases. They exist and influence each other. In recent years, the number of diabetes patients around the world has shown a growing trend, which poses a serious threat to the control of tuberculosis. Diabetes patients often have metabolic disorders, but also prone to malnutrition, their own immune function will be damaged, and these factors make them more prone to tuberculosis. Due to the long course and complex condition of type Ⅱ diabetes complicated with pulmonary tuberculosis, and the particularity of diabetes itself, it is easy to induce infection and the recurrence or aggravation of the primary focus, which makes the disease progress rapidly, the treatment effect is poor, and the drug resistance rate is high, and then develops into severe pulmonary tuberculosis. This article reviewed the epidemic characteristics, occurrence mechanism, susceptibility mechanism, interaction and nursing management of type Ⅱ diabetes and severe pulmonary tuberculosis, so as to provide basis for health management and practice of diabetes complicated with severe pulmonary tuberculosis.

Key words: Diabetes mellitus, type 2, Tuberculosis, pulmonary, Risk factors, Review

中图分类号:

R52
R587.1

钱梦妮, 陆霓虹, 杜映荣. Ⅱ型糖尿病合并重症肺结核发生风险的研究进展[J]. 结核与肺部疾病杂志, 2025, 6(2): 225-233. doi: 10.19983/j.issn.2096-8493.20250009

Qian Mengni, Lu Nihong, Du Yingrong. Research progress on the risk of type Ⅱ diabetes complicated with severe pulmonary tuberculosis[J]. Journal of Tuberculosis and Lung Disease, 2025, 6(2): 225-233. doi: 10.19983/j.issn.2096-8493.20250009

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