浙江预防医学
浙江預防醫學
절강예방의학
ZHEJIANG JOURNAL OF PREVENTIVE MEDICINE
2014年
10期
973-976,985
,共5页
胡如英%俞敏%沈玉华%何青芳%潘劲%叶真%曹纳新%宁光
鬍如英%俞敏%瀋玉華%何青芳%潘勁%葉真%曹納新%寧光
호여영%유민%침옥화%하청방%반경%협진%조납신%저광
中老年%糖尿病%患病率%知晓率%控制率
中老年%糖尿病%患病率%知曉率%控製率
중노년%당뇨병%환병솔%지효솔%공제솔
Middle-aged and elderly persons%Diabetes mellitus%Prevalence rate%Awareness rate%Control rate
目的:了解中老年农村居民糖尿病( DM)患病、知晓、治疗和控制现况。方法采用分层整群抽样法,对嘉善县9个乡镇(街道)10100名40岁及以上中老年居民进行问卷调查、体格检查和血糖检测;描述性分析中老年居民糖尿病现况。结果中老年农村居民DM患病率为16.04%,标化患病率为17.07%;糖调节受损率、空腹血糖受损率和糖耐量减低受损率分别为24.93%、10.16%和19.30%。DM 知晓率为49.47%,女性为51.96%,高于男性的46.41%( P<0.05)。DM知晓者中,采用药物治疗、饮食治疗和合理运动的比例分别为79.52%、89.41%和52.46%,女性采用饮食治疗的比例为92.81%,高于男性的84.73%( P<0.05);DM患者血糖控制率为43.43%。结论嘉善县中老年农村居民糖尿病及其前期患病率处于较高水平,DM知晓率和控制率均处于较低水平;需采取综合干预措施,提高农村居民糖尿病及其前期患者的知晓率和控制率。
目的:瞭解中老年農村居民糖尿病( DM)患病、知曉、治療和控製現況。方法採用分層整群抽樣法,對嘉善縣9箇鄉鎮(街道)10100名40歲及以上中老年居民進行問捲調查、體格檢查和血糖檢測;描述性分析中老年居民糖尿病現況。結果中老年農村居民DM患病率為16.04%,標化患病率為17.07%;糖調節受損率、空腹血糖受損率和糖耐量減低受損率分彆為24.93%、10.16%和19.30%。DM 知曉率為49.47%,女性為51.96%,高于男性的46.41%( P<0.05)。DM知曉者中,採用藥物治療、飲食治療和閤理運動的比例分彆為79.52%、89.41%和52.46%,女性採用飲食治療的比例為92.81%,高于男性的84.73%( P<0.05);DM患者血糖控製率為43.43%。結論嘉善縣中老年農村居民糖尿病及其前期患病率處于較高水平,DM知曉率和控製率均處于較低水平;需採取綜閤榦預措施,提高農村居民糖尿病及其前期患者的知曉率和控製率。
목적:료해중노년농촌거민당뇨병( DM)환병、지효、치료화공제현황。방법채용분층정군추양법,대가선현9개향진(가도)10100명40세급이상중노년거민진행문권조사、체격검사화혈당검측;묘술성분석중노년거민당뇨병현황。결과중노년농촌거민DM환병솔위16.04%,표화환병솔위17.07%;당조절수손솔、공복혈당수손솔화당내량감저수손솔분별위24.93%、10.16%화19.30%。DM 지효솔위49.47%,녀성위51.96%,고우남성적46.41%( P<0.05)。DM지효자중,채용약물치료、음식치료화합리운동적비례분별위79.52%、89.41%화52.46%,녀성채용음식치료적비례위92.81%,고우남성적84.73%( P<0.05);DM환자혈당공제솔위43.43%。결론가선현중노년농촌거민당뇨병급기전기환병솔처우교고수평,DM지효솔화공제솔균처우교저수평;수채취종합간예조시,제고농촌거민당뇨병급기전기환자적지효솔화공제솔。
Objective To explore the prevalence,awareness,treatment and control status of diabetes mellitus( DM ) among middle- aged and elderly residents in rural areas. Methods Using stratified cluster sampling,10,100 local residents aged≥40 years were collected from 9 towns in Jiashan county. A face to face interview was conducted using structured questionnaire. The data of height,weight,serum lipids,blood pressure and fasting plasma glucose were obtained. Results The prevalence rate of DM in middle-aged and elderly rural residents was 16. 04%,with the age-standardized prevalence of 17. 07%. The rates of impaired glucose regulation( IGR),impaired fasting glucose( IFG)and impaired glucose tolerance( IGT)were 24. 93%,10. 16% and 19. 30%,respectively. The awareness rate of DM was 49. 47%,which was significantly higher in females(51. 96%)than in males(46. 41%). Among patients who were aware of their DM,the rates of taking drug therapy,dietary therapy and exercise therapy were 79. 52%,89. 41% and 52. 46%, respectively,and the rate of taking dietary therapy was higher in females(92. 81%)than in males(84. 73%). The control rate of DM was 43. 43%. Conclusion The prevalence rates of DM among middle-aged and elderly rural residents in Jiashan is high,while the rates of awareness,treatment and control of DM are relatively low. Improving the awareness, treatment and control is urgently needed for intervention of DM.