安徽省10991人糖尿病流行病学调查  

A survey of diabetes mellitus in 10 991 persons of Anhui Province

作　　者：杨明功[1,2,3,4,5,6,7] 莫蔚林[1,2,3,4,5,6,7] 王长江[1,2,3,4,5,6,7] 邢学农 彭永德 杨静[1,2,3,4,5,6,7] 左祥生[1,2,3,4,5,6,7] 任安 赵广碧[1,2,3,4,5,6,7] 王佐民[1,2,3,4,5,6,7] 陈超 郝建平[1,2,3,4,5,6,7] 郭景章 程本道 周玉良[1,2,3,4,5,6,7] 李莉[1,2,3,4,5,6,7] 

机构地区：[1]安徽医科大学第一附属医院内分泌科 [2]安徽省立医院内分泌科 [3]安徽省马鞍山市第二人民医院 [4]安徽省阜阳地区医院内科 [5]安徽省金寨县江店医院 [6]安徽省淮北市第一人民医院内科 [7]安徽省安庆石化厂医院

出　　处：《安徽医科大学学报》1997年第6期695-698,共4页Acta Universitatis Medicinalis Anhui

摘　　要：了解安徽省糖尿病（ＤＭ）患病情况，分析其患病相关因素。方法采用分层整群抽样方法对安徽省６个地市１０９９１人进行了糖尿病流行病学抽样调查。结果（１）ＤＭ和糖耐量低减（ＩＧＴ）患病率为２．２４％及４．４５％，标化患病率分别为１．９２％及３．７７％，其中无症状新发现ＤＭ人数占患者人数５５．６９％，在农村尤为突出。（２）ＤＭ、ＩＧＴ患病率随年龄增长，高峰在６０岁以上组，与劳动强度呈负相关。（３）肥胖、超重组ＤＭ、ＩＧＴ患病率高于正常体重、低体重及消瘦组；ＤＭ、ＩＧＴ组ＢＭＩ、ＷＨＲ显著高于糖代谢正常组，ＷＨＲ在ＤＭ、ＩＧＴ两组间差异亦存在显著性。（４）有ＤＭ家族史者ＤＭ、ＩＧＴ患病率均高于无ＤＭ家族史者。（５）ＤＭ、ＩＧＴ高血压及临界高血压伴发率显著高于糖代谢正常者。多元逐步回归结果显示：服糖后２ｈ血浆血糖与年龄、ＤＭ家族史、体重指数、收缩压呈显著正相关，与劳动强度呈显著负相关。结论年龄、ＤＭ家族史、体重、血压与劳动强度是ＤＭ、ＩＧＴ患病的重要影响因素。Objective To know complete prevalence data of diabetes mellitus(DM) in Anhui Province and analyse its related factors. Methods A survey of DM and impaired glucose tolerance(IGT) was carried out in 10 991 persons of Anhui Province by using stratified cluster sampling. Results The prevalences of DM and IGT were 224% and 445%, respectively. Out of total DM, 5569% was newly diagnosed, particularly in countryside. There was a consistently increasing trend with age and the highest prevalence was at the age group of 60 or above. The stronger the labor intensity, the lower the prevalences of DM and IGT. DM and IGT appeared more frequently in individuals with obesity or DM family history than in those without it. The multiple stepwise regression showed 2 h BG was significantly positively correlated with age, DM family history, body mass index and systolic pressure and negatively correlated with work intensity. Conclusions Age, DM family history, body weight, blood pressure and work intensity are important affecting factors to the prevalences of DM and IGT.MeSH diabetes mellitus/epidemiol

关 键 词：糖尿病 流行病学 安徽 调查 

分 类 号：R587.101[医药卫生—内分泌]