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上海市金山区35岁以上居民糖调节受损和糖尿病流行现状
引用本文:吕家爱,陶建秀,朱晓云,陈德喜,陈磊,夏曙梅,王海燕. 上海市金山区35岁以上居民糖调节受损和糖尿病流行现状[J]. 现代预防医学, 2016, 0(3): 460-463
作者姓名:吕家爱  陶建秀  朱晓云  陈德喜  陈磊  夏曙梅  王海燕
作者单位:上海市金山区疾病预防控制中心,上海 201599
摘    要:
摘要:目的 初步了解金山区35岁以上居民糖调节受损和糖尿病流行特点,为评估金山区糖尿病流行趋势并采取积极的防治措施提供依据。方法 采用多阶段随机整群抽样的方法,对金山区35岁以上居民进行横断面的调查。结果 35岁以上居民糖尿病(DM)、糖调节受损(IGR)、糖耐量减低(IGT)和空腹血糖受损(IFG)患病率分别为17.84%(512/2870)、21.57%(619/2870)、16.34%(469/2870)和5.23%(150/2870)(标化率16.69%、21.25%、16.29%和4.96%)。高血压人群中DM患病率为27.58%(275/997),IGR患病率为24.67%(246/997),明显高于血压正常人群[分别为12.65%(237/1873)和19.91%(373/1873)]。男性DM和IGR患病率分别为20.42%(255/1249)和20.34%(254/1249),女性DM和IGR患病率分别为15.85%(257/1621)和22.52%(365/1621),DM患病率男性高于女性,差异有统计学意义(P<0.01),IGR患病率男女之间差异无统计学意义(P=0.159)。新诊断DM比例为56.45%。结论 金山区糖尿病患病率处在较高水平,仅不到一半的糖尿病患者知道自己患病,有效的预防和及时发现糖尿病患者应作为今后糖尿病防治工作的重要内容。

关 键 词:关键词:糖尿病  糖调节受损  流行现状  患病率  知晓率

Epidemic status of impaired glucose regulation and diabetes mellitus among residents over 35 years,Shanghai Jinshan District
LV Jia-ai,TAO Jian-xiu,ZHU Xiao-yun,CHEN De-xi,CHEN Lei,XIA Shu-mei,WANG Hai-yan. Epidemic status of impaired glucose regulation and diabetes mellitus among residents over 35 years,Shanghai Jinshan District[J]. Modern Preventive Medicine, 2016, 0(3): 460-463
Authors:LV Jia-ai  TAO Jian-xiu  ZHU Xiao-yun  CHEN De-xi  CHEN Lei  XIA Shu-mei  WANG Hai-yan
Affiliation:Jinshan District Center for Disease Control and Prevention, Shanghai 201599, China
Abstract:
Abstract: Objective To study the epidemiological characteristics of impaired glucose regulation and diabetes mellitus among residents over age of 35 in Jinshan District, and to provide basis for the disease control and prevention. Methods A multi-stage random cluster sampling had been used for cross-sectional survey of residents over age of 35. Results The prevalence of diabetes mellitus (DM), impaired glucose regulation (IGR), impaired glucose tolerance (IGT) and impaired fasting glucose (IFG) were 17.84% (512/2870), 21.57% (619/2870), 16.34% (469/2870) and 5.23% (150/2870) (standard rate of 16.69%, 21.25%, 16.29% and 4.96%), respectively. DM prevalence was 27.58% (275/997) in hypertension patients, and IGR prevalence rate was 24.67% (246/997), which were significantly higher than those without hypertension [12.65% (237/1873) and 19.91% (373/1873) ]. Male prevalence rates of DM and IGR were 20.42% (255/1249) and 20.34% (254/1249), and female rates were 15.85% (257/1621) and 22.52% (365/1621), respectively. The DM prevalence of male was higher than that of female, and the difference was statistically significant (P<0.01). The prevalence of IGR between male and female did not differ statistically significant (P=0.159). The proportion of newly diagnosed DM was 56.45%. Conclusion The prevalence of diabetes mellitus in Jinshan District was at a high level, and less than half of patients who noticed that he was sick. Therefore, effective prevention and timely detection of diabetes mellitus should be served as an important part of the future of diabetes prevention and control work.
Keywords:Keywords: Diabetes Mellitus  Impaired Glucose Regulation  Epidemic Situation  Prevalence  Awareness
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