浙江医学
浙江醫學
절강의학
ZHEJIANG MEDICAL JOURNAL
2015年
3期
200-204,215
,共6页
费扬%何勇%孙丽琴%陈金云%楼琴华%包莲芳%查军
費颺%何勇%孫麗琴%陳金雲%樓琴華%包蓮芳%查軍
비양%하용%손려금%진금운%루금화%포련방%사군
糖尿病%糖尿病前期%单纯糖耐量受损
糖尿病%糖尿病前期%單純糖耐量受損
당뇨병%당뇨병전기%단순당내량수손
Diabetes%Pre- diabetes%Impaired glucose tolerance
目的：调查了解富阳市糖尿病患病率和相关危险因素等流行病学特点。方法从2012年8至10月对富阳市25个乡镇（街道）18岁以上的户籍人口以乡镇（街道）为单位分层进行随机抽样，开展横断面调查。总共调查了4131人，除已确诊为糖尿病的患者外，所有受试者均行口服葡萄糖耐量试验（OGTT），并检测空腹及餐后2h静脉血糖。已确诊的糖尿病患者均采用自行报告的形式。结果标准化后的糖尿病患病率8.10%，其中男性8.45%，女性8.16%；糖尿病前期患病率11.33%，其中男性患病率11.21%，女性11.08%。单纯糖耐量受损（IGT）患病率10.51%，其中男性10.64%，女性10.13%。糖尿病患病率在城乡人群分别是14.30%和13.00%，糖尿病前期患病率在城乡人群分别是19.10%和15.60%，城乡间比较均存在统计学差异（P＜0.01或0.05）。糖尿病的总体治疗率为46.02%，其中男性35.80%，女性45.64%，治疗率随年龄升高而降低。年龄、糖尿病家族史、肥胖、高TG以及LDL- C均是糖尿病的危险因素（P＜0.01或0.05）。结论富阳市糖尿病患病率低于全国水平，但高于全省水平，而糖尿病前期患病率却高于全国水平，提示富阳市糖尿病患病率正处于上升阶段。
目的：調查瞭解富暘市糖尿病患病率和相關危險因素等流行病學特點。方法從2012年8至10月對富暘市25箇鄉鎮（街道）18歲以上的戶籍人口以鄉鎮（街道）為單位分層進行隨機抽樣，開展橫斷麵調查。總共調查瞭4131人，除已確診為糖尿病的患者外，所有受試者均行口服葡萄糖耐量試驗（OGTT），併檢測空腹及餐後2h靜脈血糖。已確診的糖尿病患者均採用自行報告的形式。結果標準化後的糖尿病患病率8.10%，其中男性8.45%，女性8.16%；糖尿病前期患病率11.33%，其中男性患病率11.21%，女性11.08%。單純糖耐量受損（IGT）患病率10.51%，其中男性10.64%，女性10.13%。糖尿病患病率在城鄉人群分彆是14.30%和13.00%，糖尿病前期患病率在城鄉人群分彆是19.10%和15.60%，城鄉間比較均存在統計學差異（P＜0.01或0.05）。糖尿病的總體治療率為46.02%，其中男性35.80%，女性45.64%，治療率隨年齡升高而降低。年齡、糖尿病傢族史、肥胖、高TG以及LDL- C均是糖尿病的危險因素（P＜0.01或0.05）。結論富暘市糖尿病患病率低于全國水平，但高于全省水平，而糖尿病前期患病率卻高于全國水平，提示富暘市糖尿病患病率正處于上升階段。
목적：조사료해부양시당뇨병환병솔화상관위험인소등류행병학특점。방법종2012년8지10월대부양시25개향진（가도）18세이상적호적인구이향진（가도）위단위분층진행수궤추양，개전횡단면조사。총공조사료4131인，제이학진위당뇨병적환자외，소유수시자균행구복포도당내량시험（OGTT），병검측공복급찬후2h정맥혈당。이학진적당뇨병환자균채용자행보고적형식。결과표준화후적당뇨병환병솔8.10%，기중남성8.45%，녀성8.16%；당뇨병전기환병솔11.33%，기중남성환병솔11.21%，녀성11.08%。단순당내량수손（IGT）환병솔10.51%，기중남성10.64%，녀성10.13%。당뇨병환병솔재성향인군분별시14.30%화13.00%，당뇨병전기환병솔재성향인군분별시19.10%화15.60%，성향간비교균존재통계학차이（P＜0.01혹0.05）。당뇨병적총체치료솔위46.02%，기중남성35.80%，녀성45.64%，치료솔수년령승고이강저。년령、당뇨병가족사、비반、고TG이급LDL- C균시당뇨병적위험인소（P＜0.01혹0.05）。결론부양시당뇨병환병솔저우전국수평，단고우전성수평，이당뇨병전기환병솔각고우전국수평，제시부양시당뇨병환병솔정처우상승계단。
Objective To investigate the prevalence of diabetes mel itus and risk factor in Fuyang city of Zhejiang province. Methods A cross- section survey with randomly sampling in residents aged above 18 yrs of Fuyang city was con-ducted from August to October 2012. A total of 4 131 participants were selected. The previous diagnosed diabetes patients were documented based on self reporting. For participants the fasting and 2- h postprandial blood glucose levels were measured and the oral glucose- tolerance tests were performed. Results The standardized prevalence of diabetes was 8.10%(8.45% for men and 8.16%for women). The prevalence of pre- diabetes was 11.33%(11.21%for men and 11.08%for women). The prevalence of isolated impaired glucose tolerance diabetes was 10.51%(10.64%for men and 10.13%for women). There were significant differ-ences in prevalence of diabetes and pre- diabetes between urban and rural areas (14.30% vs 13.00%, P<0.05 and 19.10% vs 15.60%, P<0.01, respectively). Among patients with diabetes, 46.02% of them received treatment (35.80% men and 45.64%women) and the rate decreased with ages. The ages, family history, obesity, increment of triglyceride and low- density lipoprotein were al risk factors of diabetes. Conclusion The prevalence of diabetes in Fuyang city is lower than national level but higher than provincial levels. However, a high prevalence of pre- diabetes is observed, which indicates that the prevalence of diabetes in Fuyang might be in the rising stage.
