Ezung Thungchanbemo, Devi Ng Taruni, Singh N Tombi, Singh Th Biren
Department of Medicine, Regional Institute of Medical Sciences, Imphal.
J Indian Med Assoc. 2002 Jun;100(6):376, 378-9.
One hundred diabetes mellitus patients attending the diabetic clinic and those admitted in the medical wards of the Regional Institute of Medical Sciences, Imphal, were selected randomly to study the prevalence of pulmonary tuberculosis with the age-and the sexwise distribution in diabetes mellitus patients. The diagnosis of diabetes mellitus was established from the dinical symptoms and the estimation of blood sugar levels whereas pulmonary tuberculosis was diagnosed from clinical, radiological and bacteriological examinations. The majority of the patients were above the age of 40 years, the mean age was 55.4 years (SD +/- 13.5). The prevalence of pulmonary tuberculosis in diabeties was 27% by radiological diagnosis and 6% by sputum positivity. Out of the 27 patients with radiological findings 11 had minimal lesions, 7 had moderate lesions and 9 patients were found to have far advanced lesions; cavitation was found in 3 patients, fibrosis in 4, homogeneous opacities in 6, heterogeneous opacities in 10, pleural effusion in 3 and consolidation and Fibrosis in only one patient. Mean duration of diabetes mellitus was 7.6 years (SD +/- 6.24). Duration of diabetes mellitus did not correlate well with the prevalence of pulmonary tuberculosis. No correlation could be found with the history of contact with tuberculosis.
从因糖尿病前来糖尿病门诊就诊以及入住英帕尔地区医学科学研究所内科病房的100名糖尿病患者中随机选取，以研究糖尿病患者中肺结核的患病率及其年龄和性别分布情况。糖尿病的诊断依据临床症状和血糖水平测定，而肺结核则通过临床、放射学和细菌学检查来诊断。大多数患者年龄在40岁以上，平均年龄为55.4岁（标准差±13.5）。经放射学诊断，糖尿病患者中肺结核的患病率为27%，痰菌阳性率为6%。在27例有放射学表现的患者中，11例为轻度病变，7例为中度病变，9例为晚期病变；3例有空洞形成，4例有纤维化，6例为均匀性混浊，10例为不均匀性混浊，3例有胸腔积液，仅1例有实变和纤维化。糖尿病的平均病程为7.6年（标准差±6.24）。糖尿病病程与肺结核患病率的相关性不佳。未发现与结核病接触史有相关性。
