沈阳市八经社区糖尿病患者病情知晓率、治疗率和控制率及危险因素调查  

Survey on the awareness, treatment and control rates as well as the risk factors in patients with diabetes in the Bajing community of Shenyang city

作　　者：李晓光[1] 时艺珊[1] 柏松[1] 罗加[2] 赵彬[2] 

机构地区：[1]沈阳医学院第二附属医院内分泌科,辽宁省沈阳市110002 [2]中国医科大学附属第一医院研究生部,辽宁省沈阳市110003

出　　处：《中国临床康复》2005年第11期6-7,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:调查沈阳八经社区糖尿病患病率、知晓率、治疗率、控制率及危险因素,评估防治现状,完善防治对策。方法:于2002-04/2002-10采用逐级分层、随机抽取沈阳八经社区常住人口样1576人,实际调查1439人,应答率91.3%,调查项目包括测量血糖、餐后2h血糖、血压、身高、体质量及糖尿病相关情况问卷填写情况。结果:共检出糖尿病患者68例,患病率为4.73%,糖尿病患者中知晓率为51%,治疗率为43%,控制率为37%,糖尿病患者按每10岁为1个年龄组组合后显示,随着年龄的上升,糖尿病患病率也随之增加,其中55岁以上各年龄组患病率明显高于整体人群(χ2=43.27～426.20;P均<0.01)。在相关危险因素比较中糖尿病患者的平均年龄、体质量指数、吸烟指数均明显高于血糖正常者(χ2=86.63～257.67;t=2.238～2.445;P<0.05～0.01),糖尿病患者中脑力劳动者例数和有糖尿病家族史例数也明显高于血糖正常者(P均<0.01)。结论:沈阳八经社区糖尿病患病率不高,有较好的防治水平。AIM:To study the prevalence, awareness, treatment and control rates as well as the risk factors of diabetes in the Bajing community of Shenyang city,and assess the present situation and perfect the countermeasure of prevention and treatment. METHODS:A sample of 1 576 residents in the Bajing community of Shenyang city were randomly collected with the method of stepwise stratification from April to October 2002,and 1 439 of them were investigated actually with the response rate of 91.3% .The questionnaire consisted of blood glucose,2 hour postprandial blood glucose, blood pressure,body height, body mass and related status of diabetes. RESULTS:Sixty eight diabetic patients were detected, and the prevalence rate was 4.73% .Among them,the awareness,treatment and control rates were 51% ,43% and 37% respectively.After grouped according to every 10 years as one group,it was shown that the prevalence rate of diabetes was increased with age,and it was obviously higher in the groups above 55 years old than in the whole population (χ 2=43.27 to 426.20,P < 0.01).In comparison of the diabetic risk factors, the average age, body mass index (BMI) and smoking index in the diabetic patients were obviously higher than those in the subjects with normal blood glucose(χ 2=86.63 to 257.67; t=2.238 to 2.445, P< 0.05 to 0.01).There were more metal laborers and more cases with diabetic family history in the diabetic patients than in the subjects with normal blood glucose(P< 0.001). CONCLUSION:The prevalence rate of diabetes is not high in the Bajing community of Shenyang, and there is a better level of prevention and treatment.

关 键 词：糖尿病/预防和控制 危险因素 社区卫生服务 

分 类 号：R587.1[医药卫生—内分泌]