CAJ | 학술논문

目的了解兰州市中老年人群糖调节受损(IGR)和糖尿病的患病情况. 方法整群随机抽取兰州市城关区张掖路及广武门街道社区40～75岁常住居民3990例,分别进行问卷调查、体格检查和糖尿病相关生化检测. 结果 IGR患病率32.6％(标化患病率32.0％),男、女患病率分别为31.4％、33.0％(x2=0.950,P＞0.05);糖尿病患病率28.9％(标化患病率28.4％),男、女患病率分别为35.1％、26.6％(x2=89.378,P＜0.001);糖尿病患者年龄较IGR患者偏大,血脂、体质指数、收缩压水平高(均P＜0.05).IGR患病危险因素有年龄、体质指数、高三酰甘油血症、低高密度脂蛋白血症、高血压,糖尿病患病危险因素有男性、年龄、体质指数、腰臀比、高三酰甘油血症、低高密度脂蛋白血症、高血压(均P＜0.05). 结论兰州市城区中老年人群IGR和糖尿病患病率高于全国同年龄段的平均水平,应加强IGR和糖尿病的早期筛查和管理,以控制糖代谢异常的流行.
목적 료해란주시중노년인군당조절수손(IGR)화당뇨병적환병정황. 방법 정군수궤추취란주시성관구장액로급엄무문가도사구40～75세상주거민3990례,분별진행문권조사、체격검사화당뇨병상관생화검측. 결과 IGR환병솔32.6％(표화환병솔32.0％),남、녀환병솔분별위31.4％、33.0％(x2=0.950,P＞0.05);당뇨병환병솔28.9％(표화환병솔28.4％),남、녀환병솔분별위35.1％、26.6％(x2=89.378,P＜0.001);당뇨병환자년령교IGR환자편대,혈지、체질지수、수축압수평고(균P＜0.05).IGR환병위험인소유년령、체질지수、고삼선감유혈증、저고밀도지단백혈증、고혈압,당뇨병환병위험인소유남성、년령、체질지수、요둔비、고삼선감유혈증、저고밀도지단백혈증、고혈압(균P＜0.05). 결론 란주시성구중노년인군IGR화당뇨병환병솔고우전국동년령단적평균수평,응가강IGR화당뇨병적조기사사화관리,이공제당대사이상적류행.
Objective To investigate the prevalence of impaired glucose regulation (IGR) and diabetes mellitus among the middle aged and elderly population of communities in Lanzhou.Methods We selected 3990 permanent residents aged 40-75 years in two communities in Chengguan district of Lanzhou,and each of the participants received the questionnaire survey,anthropometric measurements and diabetes related biochemical examination.Results The prevalence of IGR was 32.6％,with 31.4％ in male and 33.0％ in female(x2 =0.950,P＞0.05).The prevalence of diabetes was 28.9％,with 35.1％ in male and 26.6％ in female(x2 =89.378,P＜0.001).The age-and sex-adjusted prevalence of IGR and diabetes were 32.0％ and 28.4％,respectively.As compared with IGR subjects,diabetes patients were older and had the greater levels of blood lipids,body-mass index and systolic blood pressure (all P＜0.05).Age,body-mass index,high triglycerides level,low HDL cholesterol level,hypertension were the risk factors for IGR,and gender,age,body-mass index,waist-hip ratio,high triglycerides level,low HDL cholesterol level,hypertension for diabetes (all P＜0.05).Conclusions The prevalences of IGR and diabetes among the middle aged and elderly residents are higher in Lanzhou urban communities than the national average level in the same age.We should enhance the early screening and management of IGR and diabetes to control the prevalence of abnormal glucose metabolism.