CAJ | 학술논문

目的：探讨山区农村2型糖尿病（T2 DM ）的可疑危险因素，为制定相关干预措施提供依据。方法对丽水市莲都区平原社区80例2型糖尿病新发病例按（1∶2）匹配进行病例对照研究方法，采用Logistic 回归分析。结果单因素和多因素分析结果提示：婚姻状况（离异或丧偶）（OR＝1.59）、糖尿病一级家族遗传史（OR＝2.28）、高血压史（OR＝1.55）、腹型肥胖（OR＝2.78）是糖尿病的危险因素；文化程度较高（OR＝0.74）、经常体育锻炼（OR＝0.59）、鱼虾摄入量较高（OR＝0.32）是保护因素。结论 T2DM是遗传因素与环境因素共同作用的结果，山区农村糖尿病防治应采取健康教育与社会预防，控制饮食，长期有计划且适当的体育锻炼等综合措施。
목적：탐토산구농촌2형당뇨병（T2 DM ）적가의위험인소，위제정상관간예조시제공의거。방법대려수시련도구평원사구80례2형당뇨병신발병례안（1∶2）필배진행병례대조연구방법，채용Logistic 회귀분석。결과단인소화다인소분석결과제시：혼인상황（리이혹상우）（OR＝1.59）、당뇨병일급가족유전사（OR＝2.28）、고혈압사（OR＝1.55）、복형비반（OR＝2.78）시당뇨병적위험인소；문화정도교고（OR＝0.74）、경상체육단련（OR＝0.59）、어하섭입량교고（OR＝0.32）시보호인소。결론 T2DM시유전인소여배경인소공동작용적결과，산구농촌당뇨병방치응채취건강교육여사회예방，공제음식，장기유계화차괄당적체육단련등종합조시。
Objective To explore the risk factors of type 2 diabetes mellitus(T2DM)in mountainous countryside residents in order to provide relevant intervention measures.Methods 80 new cases of T2DM were selected from pingyuan community in Liandu District of Lishui City as case group,and 1 60 normal people were selected as control group at the same time and places,in which the 1∶2 matched design of case -control study method was used.Conditional Logistic regression analysis was applied in this study.Results The multiple conditional logistic regression analysis suggested that primary family history,history of hypertension,abdominal obesity were the risk factors of T2DM(OR=2.08,1.55 and 2.78 respectively);while education level,exercise and fish intake were the protective factors(OR=0.74,0.59 and 0.32 respectively).Conclusion T2DM is the result of both genetic factors and environmental factors.Moreover,health education,balanced diet and proper physical exercise should be encouraged among residents to prevent T2DM in mountainous countryside.