CAJ | 학술논문

目的：调查研究2型糖尿病（T2DM）合并肺结核（PTB）的环境危险因素，以为其临床预防提供理论依据。方法选择2006年7月至2013年8月梧州市第三人民医院收治的200例T2DM合并肺结核患者和200例T2DM患者进行病例对照研究，采用多因素条件Logistic回归分析T2DM合并肺结核的环境危险因素。结果人均居住面积（OR＝6．878，95％CI 0．956～6．778），室内采光不良（OR＝5．675，95％CI 0．654～5．767），室内通气不良（OR＝4．345，95％CI 0．567～7．675），家庭或同事有结核患者（OR＝5．785，95％CI 0．753～6．677），化学烟雾接触（OR＝4．242，95％CI 0．753～6．900），粉尘接触（OR＝4．478，95％CI 0．867～6．896）是导致 T2DM 合并肺结核的环境危险因素。结论T2DM合并肺结核与多种环境因素有关，应积极控制环境危险因素，以减少 T2DM 合并肺结核的发生率。
목적：조사연구2형당뇨병（T2DM）합병폐결핵（PTB）적배경위험인소，이위기림상예방제공이론의거。방법선택2006년7월지2013년8월오주시제삼인민의원수치적200례T2DM합병폐결핵환자화200례T2DM환자진행병례대조연구，채용다인소조건Logistic회귀분석T2DM합병폐결핵적배경위험인소。결과인균거주면적（OR＝6．878，95％CI 0．956～6．778），실내채광불량（OR＝5．675，95％CI 0．654～5．767），실내통기불량（OR＝4．345，95％CI 0．567～7．675），가정혹동사유결핵환자（OR＝5．785，95％CI 0．753～6．677），화학연무접촉（OR＝4．242，95％CI 0．753～6．900），분진접촉（OR＝4．478，95％CI 0．867～6．896）시도치 T2DM 합병폐결핵적배경위험인소。결론T2DM합병폐결핵여다충배경인소유관，응적겁공제배경위험인소，이감소 T2DM 합병폐결핵적발생솔。
Objective To investigate the environmental risk factors of diabetes mellitus complicated with pulmonary tuberculosis and provide reference for the Clinical prevention .Methods A case-control study for 200 cases of T2DM complicated with PTB and 200 cases of T2DM patients from July 2006 to August 2013 in Third People′s Hospital of Wuzhou City.Data were analyzed multiple unconditional logistic regression analy-sis.Results Per capita living area(OR =6.878,95%CI 0.956-6.778),poor indoor lighting (OR =5. 675,95%CI 0.654-5.767),poor indoor ventilation (OR =4.345,95%CI 0.567-7.675),family or col-leagues with TB (OR=5.785,95%CI 0.753-6.677),chemical smoke exposure (OR=4.242,95%CI 0. 753-6.900),dust exposure (OR =4.478,95%CI 0.867-6.896) is causing T2DM complicated with PTB environmental risk factors.Conclusion The development of T2DM complicated with PTB was related with various environmental factors respectively .Strengthening the control of the environmental risk factors was sug-gested to reduce the incidence of T2DM complicated with PTB.