江苏省太仓市2型糖尿病及糖尿病前期人群横断面分析大数据研究

目的 了解江苏省太仓市2型糖尿病(T2DM)及糖尿病前期(IGR)的流行现状,并分析相关危险因素.方法 采用多阶段随机整群抽样方法,选取太仓市1,319名18~65周岁的常住居民为调查对象进行横断面调查,并对研究对象进行问卷调查和体格检查,留取空腹和餐后2h静脉血进行生化指标测定.结果 不计已确诊的糖尿患者,太仓市居民T2DM的患病率为6.1%、IGR患病率为16.0%.在IGR人群中,空腹血糖受损(IFG)患病率为4.09%、糖耐量受损(IGT)患病率为11.9%.IGR组和T2DM组分别同正常糖耐量组(NGT)组比较,腰围、臀围、体质指数、腰臀比、收缩压、舒张压、空腹血糖和餐后2小时血糖均高于NGT组,差异有统计学意义(P<0.05).多因素logistic回归分析显示,年龄、性别、高血压、腹型肥胖、体质指数、糖尿病家族史是太仓市城乡居民糖尿病前期及糖尿病患者的重要危险因素.结论 太仓地区的IGR患病率较高,社区全科团队应将年龄较大、男性、糖尿病家族史、BMI指数超标、腹部肥胖、患有高血压等危险因素的居民作为重点对象进行健康教育干预.

The Cross-sectional Analysis on Large Data of Type 2 Diabetes and Pre-diabetes in Taicang City,Jiangsu Province

Objective To understand the prevalence of type 2 diabetes mellitus(T2DM)and pre diabetes mellitus(IGR)in Taicang City,Jiangsu Province,and analyze the related risk factors.Methods A cross-sectional survey was conducted among 1,319 permanent residents aged 18-65 in Taicang City by multi-stage random cluster sampling.The subjects were investigated by questionnaire and physical examination,and their fasting plasma glucose(FPG)and 2 hour blood glucose(2hPG)were taken for biochemical indexes.Results The prevalence of T2DM and IGR in Taicang was 6.1%and 16.0%respectively,regardless of the diagnosed diabetes.In the IGR population,the prevalence of impaired fasting glucose(IFG)was 4.09%,and the prevalence of impaired glucose tolerance(IGT)was 11.9%.The waist circumference,hip circumference,BMI,waist to hip ratio,systolic blood pressure,diastolic blood pressure,fasting blood glucose and postprandial blood glucose in IGR group and T2DM group were higher than those in Normal Glucose Tolerance(NGT)group(P<0.05).Multivariate logistic regression analysis showed that age,gender,hypertension,abdominal obesity,BMI and family history of diabetes were important risk factors of diabetes mellitus and pre-diabetes in urban and rural residents of Taicang.Conclusion The prevalence of IGR is high in Taicang area.The community general practice team should focus on the elderly,male,family history of diabetes,BMI index,abdominal obesity,hypertension and other risk factors for health education intervention.