新疆维、汉两民族≥50岁中老年人群血糖水平调查分析

目的:分析新疆维吾尔族(维族)、汉族≥50岁人群血糖水平现状,了解其是否存在民族差异,为血糖异常的防治提供理论依据。方法:采用分层随机多级整群抽样的方法对居住在新疆有常住户口、年龄≥50岁的维族居民4779人(男性2347人,女性2432人)和汉族居民3603人(男性1590人,女性2013人),共计8382人行血糖水平现况调查。结果:(1)新疆维、汉两民族抽样人群血糖均值为(5.67±2.01)mmol/L,空腹血糖受损(IFG)患病率为25.9%,糖尿病(DM)患病率为10.2%。(2)民族差异:①维族组血糖均值为(5.61±2.00)mmol/L明显低于汉族组(5.69±2.02)mmol/L(P0.05);②维族IFG患病率(27.5%)显著高于汉族(24.0%),汉族DM患病率(11.2%)显著高于维族(9.39%),P均0.05;(3)年龄差异:新疆维、汉两民族各自各年龄组的血糖水平,IFG、DM患病率无显著差异(P0.05);(4)性别差异:新疆维、汉两民族抽样人群平均血糖水平女性为(5.67±2.01)mmol/L,男性为(5.62±2.01)mmol/L,二者无显著差异(P0.05);IFG及DM患病率在不同性别之间的差异亦均无显著性(P0.05)。结论:新疆维、汉两民族≥50岁人群的空腹血糖水平及糖尿病患病率均高于全国平均水平,血糖水平和血糖异常患病率存在着民族间差异,但在各年龄组、性别间无明显差异。

Analysis of blood glucose level among Uygur and Han nationalities people over 50-year old in Xinjiang

Objective： To study the serum glucose levels in Uygur and Han nationalities （950--year old） in Xinjiang and its significance. Methods： The objects were 4779 Uygur （2347 men and 2432 women） and 3603 Han nationalities （1590 men and 2013 women） selected from Xinjiang in China. The investigation was performed by using the method of random sample. The vein blood was collected to measure blood glucose. Statistical analysis was completed with SPSS 17.0 software package. Results： （1） Glucose mean level was （5.67±2.01） mmol/L, the rate of impaired fasting glu- cose （IFG） were 25.9%, and the rate of diabetes （DM） was 10.2% in elderly people living in Xinjiang; （2） Nation difference： （1）Glucose mean level was （5.61±2.00） mmol/L in Uygur elderly people, which was significantly lower than that of Han elderly people （5.69± 2.02） mmol/L （P〈0.05）; （2） The prevalence of IFG in Uygur （27.5 %） was higher than that of Han （24.0%）, the prevalence of DM in Uygur （9.3%） was less than that of Han （11.2%）, P〈0.05 all; （3） Age difference： Glucose mean level and prevalence of IFG and DM in each age group of Uygur or Han were no significant （P〈0.05 all） ; （4） Sex difference： glucose mean level in women was （5.67±2.01） mmol/L, and in men was （5. 62±2.01） mmol/L; there were no significant difference, the rate of IFG and DM between men and women also no significant difference, P〉0.05 all. Conclusion： Both fasting plasma glucose level and prevalence rate of diabetic mellirus in Xinjiang are higher than those of average levels of whole country, to which we should pay more attention. There exist difference not only in the level of serum glucose but also in the prevalence rate of serum glucose abnormity between Uygur and Han nationalities.