二甲双胍在糖尿病合并肺结核患者中的作用综述

Esravila Ariya Wibisono
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引用次数: 0

摘要

结核病是一个全球性的健康挑战,世界卫生组织估计,2017年新病例的发病率达到1110万人。印度尼西亚被列为结核病高负担国家,其8%的人口感染结核病,在世界上排名第三。2型糖尿病(T2DM)是已知的结核病患者的合并症。与没有T2DM的结核病患者相比,TB-T2DM患者的发病率、死亡率、复发率、细菌耐药性、治疗失败和痰转化较慢的几率更高。最近的研究表明,二甲双胍可能对TB-T2DM患者具有潜在的协同作用。二甲双胍具有免疫调节剂特性,可以改善T2-DM患者的身体对结核病的免疫反应和炎症反应。
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Metformin Role in Diabetic Patients with Tuberculosis: a Review
Tuberculosis (TB) epidemic is a global health challenge, and WHO estimated the incidence of the new cases reaching 11.1 million people in 2017. Indonesia is classified as a high TB burden country, with 8% of its population infected by TB and ranks third in the world. Type-2 diabetes mellitus (T2DM) is known comorbidity for TB patients. TB-T2DM patients have a higher chance of morbidity, mortality, relapse, bacterial resistance, treatment failure, and slower sputum conversion than TB patients without T2DM. Recent studies suggest that metformin may have a potential synergistic role for TB-T2DM patients. Metformin has immunomodulator properties that can improve the body's immune response and inflammatory response against TB in individuals with T2-DM.
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