CAJ | 학술논문

目的：探讨平湖市成人2型糖尿病的相关危险因素。方法采用多阶段随机整群抽样法，选择平湖市1个街道8个镇≥18岁居民3106人开展既往病史、家族史、烟酒史及运动情况调查，同时检测血糖、血脂，测量身高、体重、血压和腰围等指标，并进行糖尿病危险因素分析。结果平湖市≥18周岁居民2型糖尿病患病率8.30%，患病率随年龄增加而逐渐升高（ p<0.01）。单因素分析显示，年龄、文化程度、高血压、糖尿病家族史、BMI、腰围、活动量、总胆固醇（ TC）、甘油三酯（ TG）、高密度脂蛋白（ HDL-C）、低密度脂蛋白（ LDL-C）与成年人2型糖尿病相关（ p<0.05）。多因素非条件Logistic回归分析显示，年龄与2型糖尿病患病率有关，糖尿病家族史（OR=9.30）、高血压（OR=1.64）、TG（OR=1.83）和BMI（OR=1.31）是2型糖尿病的危险因素。结论平湖市成人2型糖尿病患病率处于较高水平，应针对相关危险因素开展健康教育，并采取有针对性的防控措施，以降低糖尿病患病率。
목적：탐토평호시성인2형당뇨병적상관위험인소。방법채용다계단수궤정군추양법，선택평호시1개가도8개진≥18세거민3106인개전기왕병사、가족사、연주사급운동정황조사，동시검측혈당、혈지，측량신고、체중、혈압화요위등지표，병진행당뇨병위험인소분석。결과평호시≥18주세거민2형당뇨병환병솔8.30%，환병솔수년령증가이축점승고（ p<0.01）。단인소분석현시，년령、문화정도、고혈압、당뇨병가족사、BMI、요위、활동량、총담고순（ TC）、감유삼지（ TG）、고밀도지단백（ HDL-C）、저밀도지단백（ LDL-C）여성년인2형당뇨병상관（ p<0.05）。다인소비조건Logistic회귀분석현시，년령여2형당뇨병환병솔유관，당뇨병가족사（OR=9.30）、고혈압（OR=1.64）、TG（OR=1.83）화BMI（OR=1.31）시2형당뇨병적위험인소。결론평호시성인2형당뇨병환병솔처우교고수평，응침대상관위험인소개전건강교육，병채취유침대성적방공조시，이강저당뇨병환병솔。
Objective To explore the risk factors of type 2 diabetes mellitus( T2DM)among adults in pinghu County. Methods through multi-stage cluster sampling,a cross sectional study was conducted among adults above 18 years old in one street and eight towns of pinghu County. A total of 3 106 people were randomly selected for this study. They were surveyed including general condition,the history of disease,smoking,drinking and physical exercise. Besides,the participants were also examined for blood glucose,blood lipids,height,weight,blood pressure and waist circumference. Results The prevalence of T2DM was 8. 30% among residents aged above 18 years in pinghu County,and it increased with age( p <0. 01 ). An unconditional logistic regression analysis showed that age,education,hypertension,family history of DM,BMI,waist circumference,physical exercise,TC,TG and HDL -C were significantly associated with T2DM(p<0. 05). Meanwhile,unconditional multivariate logistic regression showed that age was associated with DM, family history of DM(OR =9. 30),hypertension(OR =1. 64),TG(OR =1. 83)and BMI(OR =1. 31)were the risk factors of T2DM. Conclusion The prevalence of T2DM was high. It is necessary to promote the health education through the population and take measure to prevent the disease.