天津市女性糖尿病危险因素初步研究  

PRELIMINARY INVESTIGATION OF RISK FAC-TORS ON FEMALE NON-INSULIN-DEPENDENT DIABETES MELLITUS IN TIANJIN CITY

作　　者：任铁生[1,2] 蔺静[1,2] 陈淑华 张磊[1,2] 王志静[1,2] 安绍琴[1,2] 于国宁 

机构地区：[1]天津医科大学,天津市天和医院 [2]天津市南开学府医院,天津市第一中心医院

出　　处：《中国慢性病预防与控制》1994年第5期208-210,238,共4页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：对天津市区居民１２１例女性非胰岛素依赖型糖尿病（ＮＩＤＤＭ）病例进行了１：１配对病例对照研究。经条件Ｌｏｇｉｓｔｉｃ回归模型分析，发现与ＮＩＤＤＭ有关的危险因素是：经济收入高（ＯＲ一３．４８，９５％ＣＩ＝２．０２～５．９８）、糖尿病家族史（ＯＲ＝６．３７，９５％ＣＩ＝２．９２～１３．８９）、既往相关病史（ＯＲ＝６．９２，９５％ＣＩ＝３．２５～１４．７３）、绝经年龄晚（ＯＲ＝３，３９，９５％ＣＩ＝２．１５～５．３５）、嗜甜食（ＯＲ＝３．５６，９５％ＣＩ＝２．２９～５．５４）、肥胖（ＯＲ＝１６．３２，９５％ＣＩ＝６．０２～４４．２３）及ＢＭＩ大（ＯＲ＝２．０８，９５％ＣＩ＝１．５２～２．８５）。同时还发现，体育锻炼（ＯＲ＝０．３６，＝３１．４７，Ｐ＜０．０１）和蔬菜、水果等是保护性因素。1: 1 matched case-control study of 121 pairs on fe-mal N IDDM was carried out in Tianjin city of china during 1991. The multivariate conditional logistic regression anal-ysis shawed that there were 1 2 factors associated withNIDDM. Among them both the risk factors and the protec-tive factors were discovered;The fomer included the familyhistory of DM(OR=7. 18,95%C1= 1. 68～30.68),thehigher ecomonic income (OR= 5. 17,95%CI=2. 78～9. 63),the medical history of relative diseases OR = 19. 74, 95%CI= 6. 25～ 62. 35), the later menopause of womenover 51 years ofage(OR= 3.55,95%CI= 1. 64～7.70),the larger consumption of refined grains (OR= 5. 33, 95%C1= 2. 31～12. 32), the sweet food(OR=2. 27,95%CI=1. 43～3.60),the obesity (OR= 13. 22,95%CI =4. 94～35. 40),the BMI(OR= 2. 08, 95%CI= 1. 52～2. 85),theuse of relative druges(OR=4. 89,95%CI=1. 08～22. 08), and the psychic trauma(OR=3. 24, 95%CI= 1. 46～7. 18), and the latter were consist of the physical training,alarge amount of intake of fresh vegetables and fruites.

关 键 词：病例对照研究 糖尿病 女性 危险因素 

分 类 号：R587.101[医药卫生—内分泌]