摘要
目的了解广西糖尿病(DM)、糖耐量减低(IGT)的患病状况及其主要影响因素,为制订防治规划提供依据。方法采用多阶段分层整群随机抽样方法在全区抽取8个县(区),对年龄≥18岁的3 060人进行DM流行病学调查,采用葡萄糖氧化酶法测定血糖。结果DM、IGT粗患病率分别为2.52%、1.21%,标化患病率为1.43%、0.89%。DM、IGT患病率随年龄增长、家庭经济收入增加、体力活动减少、体重指数的增加等呈上升趋势。城市人群、有DM家族史人群DM和IGT患病率明显增高,少数民族人群DM患病率低。高血压、血脂异常与DM、IGT患病率密切相关,吸烟、饮酒等因素对DM、IGT患病率无明显影响。全区DM防治情况不乐观,≥18岁人群曾经测量过血糖的比例只有4.53%,DM患者知晓率仅为43.59%。结论家族史、高龄、超重、高血压及血脂异常等是DM的危险因素。DM的防治工作需要加大宣传力度、普及DM知识。
Objective To study the prevalence and risk factors of diabetes mellitus （DM） and impaired glucose tolerance （IGT） in Guangxi, in order to provide evidence for implementing prevention policies. Methods A stratified cluster-randomized study was conducted. A sample of 3060 people aged ≥18 years in 8 selected counties and cities were studied. Blood glucose was measured by glucose-oxidase method. Results The prevalence rates of DM and IGT were 2.52% and 1.21%, and the standardized ones were 1.43 % and 0. 89%respectively. The increased risk of DM was associated with increased age, increased income, reduced exercise and increased MBI. The morbidity rates of DM and IGT were much higher in urbanite residents as well as population with family history of DM. The prevalence of DM was low in ethnic groups. It was found hypertension and abnormal cholesterol levels were associated with DM and IGT, but no significant effect of smoking and alcoholism on DM and IGT was found. Only 4.53 % of general population aged ≥18 years were previously tested for blood glucose, and only 43.59% of DM patients knew about their health conditions. Conclusion Family history, age, overweight, hypertension and abnormal cholesterol are all suggested to increase the risk of DM. Enhanced health education is critical for DM prevention and control.
出处
《华中科技大学学报（医学版）》
CAS
CSCD
北大核心
2006年第5期648-652,共5页
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
关键词
糖尿病
患病率
危险因素
diabetes mellitus
prevalence rate
risk factor
