论文部分内容阅读
目的了解哈尔滨市阿城区糖尿病患病情况。方法根据WHO 1999年糖尿病和糖耐量损伤的诊断标准,采用自然人群,分层整群抽样方法,于2014年8~12月抽取哈尔滨市阿城区20~75岁居民4 759人,进行问卷调查和采集血样利用生化血糖仪测血糖的方法进行流行病学调查。结果调查4 759人,糖尿病患病率为3.76%。城市患病率为5.64%(89/1 577),农村为2.83%(90/3 182)(P<0.05);随年龄增加,糖尿病和糖耐量损伤患病率逐渐增高(P<0.05);随着BMI的增加,糖尿病与糖耐量损伤的患病率逐渐增高(P<0.05)。多因素Logistic回归分析显示,城市、年龄越大、BMI≥28.0kg/m2、吸烟越多、日饮酒量≥30g是糖尿病发病的危险因素。结论哈尔滨市阿城区糖尿病的患病率呈上升趋势,防止糖耐量损伤患者转化为糖尿病是预防糖尿病的重要环节。
Objective To understand the prevalence of diabetes in Acheng District of Harbin. Methods According to the WHO diagnostic criteria of diabetes and impaired glucose tolerance in 1999, using natural population and stratified cluster sampling method, 4 759 residents 20 ~ 75 years old in Harbin City Acheng district from August to December 2014 were collected for questionnaire survey and Collect blood samples using biochemical blood glucose measurement methods for epidemiological investigation. Results A total of 4 759 people were surveyed. The prevalence of diabetes was 3.76%. The prevalence rate of urban residents was 5.64% (89/1 577) in rural areas and 2.83% (90/3 182) in rural areas (P <0.05). The prevalence of diabetes mellitus and impaired glucose tolerance increased with age (P <0.05). With the increase of BMI, the prevalence of diabetes and impaired glucose tolerance gradually increased (P <0.05). Multivariate Logistic regression analysis showed that the older the city, the older the BMI≥28.0kg / m2, the more smoking, the daily alcohol consumption ≥30g is the risk factor for the onset of diabetes. Conclusion The prevalence of diabetes mellitus in Acheng District, Harbin City, is on the rise. It is an important part of prevention of diabetes mellitus that preventing the patients with impaired glucose tolerance from converting to diabetes mellitus.