Masztalerz J, Miller M
Zak adu Epidemiologii i Organizaeji Walki, Gruźlica.
Pneumonol Pol. 1990 Jul-Aug;58(7-8):378-85.
The number of freshly registered sputum positive cases of pulmonary tuberculosis coexistent with diabetes mellitus was calculated from data of the Central Register of Tuberculosis in Poland. The incidence rate for this group in 1985 and 1986 was only 2.6%, while the calculated rate was only higher by 1/3 in comparison with rates of the general population. This leads to a conclusion that diabetes mellitus does not increase the risk of developing tuberculosis. Treatment did not differ from standard therapeutical regimes. Early results were comparable with those from a general population. The mortality rate analyzed in both years was three fold higher in the group with coexistent diabetes mellitus than in the general population treated for tuberculosis. This implies that tuberculosis coexistent with diabetes mellitus is a great clinical problem but epidemiologically is insignificant.
根据波兰结核病中央登记处的数据,计算了新登记的合并糖尿病的痰涂片阳性肺结核病例数。1985年和1986年该组的发病率仅为2.6%,而计算得出的发病率与普通人群相比仅高出1/3。由此得出结论,糖尿病不会增加患结核病的风险。治疗与标准治疗方案并无差异。早期结果与普通人群的结果相当。在这两年中分析的合并糖尿病组的死亡率比接受结核病治疗的普通人群高三倍。这意味着合并糖尿病的结核病是一个重大的临床问题,但在流行病学上并不重要。