고혈압 환자와 당뇨환자에서 흉막염 발생의 비교
Incidence of Pleurisy in Diabetics and Hypertension Patients
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초록
흉막염은 폐를 둘러싸는 흉막에서의 염증이다. 흉막염은 바이러스 감염과 결핵균 감염을 포함하는 다양한 원인으로 발병한다. 본연구에서는 흉수천자를 실시한 입원환자 136명을 대상으로 흉막염과 고혈압, 당뇨와의 관계를 알아보고자 한다. 연구대상자 136 명 중에서 고혈압이나 당뇨가 없는 정상인은 47.8%, 고혈압32.3%, 당뇨 7.4%, 고혈압 및 당뇨 12.5%의 분포를 보였다. 흉막염유무에 따른 정상인 그룹과 고혈압 그룹 간의 오즈비는 2.524이며이의 95% 신뢰구간은(1.050, 6.069)로 1을 포함하고 있지 않으므로 고혈압이 흉막염의 위험률을 높인다고 볼 수 있다. 또한, 정상인그룹과 당뇨 그룹 간의 오즈비는 4.417이며 95% 신뢰구간은(1.101, 17.714)로 1을 포함하지 않으므로 당뇨가 흉막염의 위험률을 높인다고 할 수 있다. 이상의 결과에 따라 고혈압과 당뇨질환은 흉막염의 발병과 관련성이 있다.
Abstract
Pleurisy, an inflammation of the lining around the lungs, is associated with a common complicationof several different medical conditions, the most pervasive being viral and mycobacterial infections. We evaluated the relevance of pleurisy and high blood pressure, diabetes. This study is a survey of136 patients in whom pleural aspiration was performed to confirm the relationship withhypertension or diabetes mellitus and pleurisy. In the 136 patients, 47.8% were normal people(without hypertension and diabetes mellitus), 32.3% were hypertension patients, 7.4% werediabetes mellitus patients, and 12.5% were patients with hypertension and diabetes mellitus. Odds ratio of normal and hypertension group by pleurisy was 2.524 and the confidence intervalwas 1.050, 6.069, odds ratio of normal and hypertension group was 4.417 and the confidenceinterval was 1.101, 17.714. According to these results, hypertension and diabetes mellitus mayincrease the risk of pleurisy.
참고문헌 (19)
- Koo JW, "Adult disease and exercise", Industrial Health, 214, pp.47~50 (2006)
- Barker DP, "The developmental origins of chronic adult disease", Acta Pædiatr, 446(Suppl), pp.26~33 (2004)
- de Boo Ha, "The developmental origins of adult disease(Barker)hypothesis", Aust N Z J Obstet Gynaecol, 46, pp.4~14 (2006)
- Choi KM, "Prevalence of prehypertension and hypertension in a Korean population : Korean national health and nutrition survey 2001", J Hypertension, 24(8), pp.1515~1521 (2006)
- Chang SM, "Study on biochemical results as risk factors of hypertension in rural and semirural communities", Korean J Clin Lab Sci, 15(1), pp.65~68 (1984)
- "2014 Health Index" (2013)[URL]
- Bertoni AG, "Diabetes and the risk of infection related mortality in the U.S", Diabetes Care, 24, pp.1044~1049 (2001)
- Muller LM, "Increased risk of common infections in patients with type 1 and type 2 diabetes mellitus", Clin Infect Dis, 41(3), pp.281~288 (2005)
- Christie YJ, "Diabetes mellitus increases the risk of active tuberculosis : A systematic review of 13 observational studies", PLOS Medicine, 5(7), pp.1091~1101 (2008)
- Annual report on the notified tuberculosis in Korea, "Korea Centers for Disease Control and Prevention", Public health weekly report. Korea Centers for Disease Control and Prevention, 10~12 (2013)
- 진복희, "고혈압 환자와 정상인의 혈청지질농도 및 체질량지수의 비교연구", 대한임상검사과학회지, 27(1), pp.141~151 (1995), 대한임상검사과학회
- 박은경, "당뇨병 환자에서의 결핵: 고혈압 환자와의 비교", 대한내과학회지, 79(6), pp.646~651 (2010), 대한내과학회
- 김현구, "흉막수에서 Vascular Endothelial Growth Factor의 진단적 의의", The Korean Journal of Thoracic and Cardiovascular Surgery, 37(9), pp.781~786 (2004), 대한흉부외과학회
- Cho H, "Pleural fluid to serum cholinesterase ratio for the differential diagnosis of transudates and exudates", Tuberculosis and Respiratory Disease, 48(5), pp.781~787 (2000)
- "2014Disease web statistics system" (2013)[URL]
- Jeon CY, "Diabetes mellitus increases the risk of active tuberculosis : A systematic review of 13 observational studies", PLOS Medicine, 5(7), pp.1091~1101 (2008)
- Ryu JS, "The usefulness in an automated kinetic method in determining of ADA activity in pleural fluid", Tuberculosis and Respiratory Disease, 42(6), pp.838~845 (1995)
- Lee JH, "Clinical significance of the combined assay of pleural fluid ADA activity and CEA level in the various pleural effusions", Tuberculosis and Respiratory Disease, 40(1), pp.35~42 (1993)
- Pablos-Mendez A, "The role diabetes mellitus in the higher prevalence of tuberculosis among Hispanics", Am J Public Health, 87, pp.574~579 (1997)