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中国防痨杂志 ›› 2024, Vol. 46 ›› Issue (3): 267-271.doi: 10.19982/j.issn.1000-6621.20230436

• 专题笔谈 • 上一篇    下一篇

关于完善我国糖尿病患者肺结核筛查政策的思考

竺丽梅()   

  1. 江苏省疾病预防控制中心慢性传染病防制所,南京 210009
  • 收稿日期:2023-12-11 出版日期:2024-03-10 发布日期:2024-03-05
  • 通信作者: 竺丽梅,Email:lilyam0921@163.com
  • 基金资助:
    国家自然科学基金(82003516)

Thoughts on improving the tuberculosis screening policy in diabetes patients in China

Zhu Limei()   

  1. Institute for Chronic Infectious Disease Control and Prevention, Jiangsu Center for Disease Control and Prevention, Nanjing 210009, China
  • Received:2023-12-11 Online:2024-03-10 Published:2024-03-05
  • Contact: Zhu Limei, Email: lilyam0921@163.com
  • Supported by:
    National Natural Science Foundation of China(82003516)

摘要:

糖尿病不仅增加结核病的发病风险,还会增加结核病患者治疗的失败、复发和死亡风险。基于现有的研究发现,在我国糖尿病患者中大规模开展结核病筛查总体收益不高,在高负担地区或存在高危因素的糖尿病患者中开展结核病筛查或许是一个更佳的选择,具有较高的成本-效益。本文中,笔者指出了目前我国糖尿病患者结核病筛查存在的问题,并介绍了相应的对策与建议。

关键词: 结核, 肺, 糖尿病, 筛查, 政策制订

Abstract:

Diabetes not only increases the risk of tuberculosis, but also increases treatment failure, recurrence and death in tuberculosis patients. Based on the existing studies, the large-scale tuberculosis screening among diabetes patients in China had low yields. It may be more cost-effective to carry out tuberculosis screening in high-burden areas or diabetes patients with high-risk factors. In this paper, the author pointed out the existing problems of tuberculosis screening in diabetes patients in China, and pointed out the corresponding plans and suggestions.

Key words: Tuberculosis, pulmonary, Diabetes mellitus, Screening, Policy making

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