摘要
作者对１９８９～１９９３年上海市区０～１４岁儿童胰岛素依赖型糖尿病（ＩＤＤＭ）发病率做了回顾性调查。１９９０年上海市区０～１４岁儿童为１４０１６６４人。根据ＷＨＯＤＩＡＭＯＮＤ方案要求，运用“俘获－再俘获”方法，从医院和全市中小学校及幼托机构共调查到１９８９～１９９３年期间０～１４岁ＩＤＤＭ初患者５８例，其中男性２８例，女性３０例。ＩＤＤＭ粗发病率为平均每年０．８３／１０万（９５％ＣＩ：０．６１／１０万～１．０４／１０万），校正率为０．９６／１０万（９５％ＣＩ：０．７１／１０万～１．１８／１０万）。１９９２年呈一发病高峰，以９岁组发病率最高，男孩发病（中位发病年龄８．０岁）早于女孩（９．７岁，Ｐ＜０．０１）。与上海市１９８０～１９９１年调查结果相比，ＩＤＤＭ发病率有逐年升高趋势，但仍属世界最低水平。
Aretrospectivestudyonincidenceofinsulindependentdiabetesmelitus(IDDM)inchildrenaged1 14wasconductedinurbandistrictsofShanghaiin1989 1993.Therewere1401664childrenaged0 14intheurbanareaofShanghaiin1990.58casesofIDDM,28boysand30girls,weretracedfromhospitals,primaryandhighschools,kindergartensandnurseriesinthecityduring1989to1993witha“capture-recapture”methodinlinewithDIAMONDprotocolsponsoredbyWHOwithindependentvalidationofcompletecaseascertainment,withanaveragecrudeincidenceof0.83/100000(95%CIof0.61/100000 1.04/100000),andacorrectedincidenceof0.96/100000(95%CIof0.71/100000 1.18/100000).PeakincidenceofIDDMwasin1992andatageofnine.Ageofonsetinboys(amedianof8.0years)wasearlierthanthatingirls(9.7years).Inci-denceofIDDMwasincreasinginShanghaiascomparedwiththestudiesin1980 1991,butitstilisplacedinthelowestthroughouttheworld.
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
1996年第2期74-76,共3页
Chinese Journal of Preventive Medicine
