糖尿病結核

Convergence of the Diabetes Mellitus and Tuberculosis Epidemics

陳美芳(Mei-Fang Chen) ； 王瑞霞(Ruey-Hsia Wang) ； 洪敏南(Min-Nan Hung) ； 林立人(Li-Jen Lin) ； 黃啓泉(Chi-Chuan Huang) ； 陳淑玲(Shw-Ling Chen) ； 邱慧卿(Hui-Ching Chiou)

《內科學誌》 21卷5期 (2010/10) Pp. 344-349

https://doi.org/10.6314/JIMT.2010.21(5).06

摘要

糖尿病與結核病是21世紀常見的疾病，由於兩者常並存，合稱爲糖尿病結核。而當個案同時罹患此兩種疾病時，常使結核病治療與糖尿病的控制更加困難，進而影響個案的生活品質，甚至生命。本文綜合文獻，藉由探討糖尿病結核的致病機轉、分析糖尿病結核與非糖尿之結核個案的人口學、臨床表現與治療效果，進而提出對糖尿病結核個案的照護建議，希望藉此文章之分享，期作爲臨床、社區照護與政策擬定之參考。

關鍵字

糖尿病 ； 結核病 ； 照護

並列摘要

Co-presence of diabetes and tuberculosis, which are expected to be among the most common diseases in the 21st century, is not uncommon. The difficulties faced by people treated for both diseases simultaneously have a major influence on their life quality. This article explored the mechanisms of diabetes with tuberculosis, analyzed patient characteristics, clinical presentation, and treatment outcomes in tuberculosis patients with or without diabetes and suggested several principles for optimizing their care. The analytical results of this study provide a reference not only for clinical treatment and community care for this important patient group, but also for establishing infection control policies.

並列關鍵字

Diabetes ； Tuberculosis ； Care