长沙市5124人糖尿病流行病学调查

长沙市５１２４人糖尿病流行病学抽样调查表明：糖尿病（ＤＭ）和糖耐量低减（ＩＧＴ）标化患病率分别为３．０６％和３．９６％，且随年龄增加而升高；≥６５岁组ＤＭ和ＩＧＴ均高达１２．６６％；男女ＤＭ患病率无明显差异，ＩＧＴ女性高于男性；新诊断的ＤＭ患者７８．８％无症状；ＤＭ组和ＩＧＴ组的ＢＭＩ，标准体重百分数，腰围，臀围及腰围／臀围值均较正常对照组高；从消瘦到肥胖其患病率依次递增；ＤＭ组及ＩＣＴ组的平均收缩压明显高于正常对照组（Ｐ＜０．０１），平均舒张压亦较正常对照组高（Ｐ＜０．０５），而两组间血压无统计学差异（Ｐ＞０．０５）。结果提示，年龄、体重及血压等是糖尿病患病的重要影响因素。

A SURVEY OF DIABETES MELLITUS AMONG THE POPULATION IN CHANGSHA

ccording to WHO diagnostic criteria of diabetes mellitus(DM),a survey of DM and im-paired glucose tolerance(IGT)was performed in the population of Changsha of Hunan Provincein P.R.China,in which 5124 subjects were investigated during the spring of 1995.The resultsshowed that the average rates of prevalence of DM and IGT were 3. 06%and 3. 93%,respective-ly,standardized by census 1990 in China. The rates of both DM and IGT increased with age.Noses difference in the prevalence of DM was found,but the prevalence of IGT was higher in fe-males(4.82%)than in males(3.50%).The symptomless DM patients accounted for 78.8%of newly diagnosed subjects with DM. The body mass index. the ratio of waist/hip and the meanvalue of blood pressure were significantly higher in persons with DM or IGT than in nomal con-trols. These findings indicate that the age and body weight as well as blood pressure are impor-tant factors to the prevalence of DM and IGT.