蚌埠市市区葡萄糖调节受损情况调查分析  

Cross-sectional investigation on the prevalence of impaired glucose regulation in the urban district of Bengbu

作　　者：徐浣白[1] 张晓梅[1] 潘明麟[1] 黄詠齐[1] 石建华[1] 时照明[1] 陈凤玲[1] 周纯先[1] 孙卫华[1] 

机构地区：[1]蚌埠医学院第一附属医院内分泌科,233004

出　　处：《实用医学杂志》2008年第16期2889-2891,共3页The Journal of Practical Medicine

基　　金：安徽省卫生厅基金资助项目(编号:2002A040)

摘　　要：目的:了解蚌埠市市区葡萄糖调节受损(IGR)发病率及其分布特征。方法:采取整群随机抽样方法,对蚌埠市区25～75岁人群进行横断面调查。结果:(1)总糖耐量受损(IGT)、总空腹血糖受损(IFG)发病率分别为6.7%、1.2%,标化率为6.9%、1.1%。IGT伴IFG发病率仅为0.2%。(2)男性总IGT、IFG发病率分别为8.1%、1.2%,女性IGT、IFG发病率分别为5.5%、1.2%。总IGT发病率在男女之间差异有统计学意义(P<0.05)。(3)超重、肥胖人群中总IGT、IFG发病率均明显高于体质指数正常人群(P<0.05)。中心性肥胖人群中总IGT、IFG发病率均明显高于无中心性肥胖人群(P<0.05)。高血压人群中IGT、IFG发病率均明显高于无高血压人群(P<0.01)。(4)干部、科技人员IGR发病率均高于工人(P<0.05)。(5)IGT、IFG人群冠心病、脑血管病的发病率显著高于正常糖耐量(NGT)人群(均P<0.05)。IGT、IFG视网膜病变、微量白蛋白尿发病率均高于NGT人群,其中IGT与NGT人群微量白蛋白尿发病率差异有显著性(P<0.05)。结论:蚌埠市市区IGT发病率呈快速增长趋势,应加强对老年人及脑力劳动者的糖尿病健康教育;需重视IGR阶段的心脑血管疾病与微血管病变。Objective To investigate the prevalence and distributional characteristics of impaired glucose regulation （IGR） in the urban distrcit of Bengbu. Methods Cross-sectional investigation was conducted on the urban inhabitants in Bengbu, aged 25 to 75 ages, selected by multistage cluster random sampling. Results （ 1 ） The prevalence rates of impaired glucose tolerance （IGT） and impaired fasting glucose （IFG） were 6.7% （206/3 073 ）, 1.2% （36/3 073） respectively, and the standardized rates were 6.9% and 1.1% respectively. The prevalence rate of patients with IGT as well as IFG was only 0.2%（5/3 073）.（2）The prevalence rates of IGT and IFG in males were 8.1% and 1.2% respectively, the prevalence rates of IGT and IFG in females were 5.5% and 1.2% respectively. The difference of the prevalence rates of IGT between males nd females was statistically significant （P 〈 0,05）. （3）The prevalence rates of IGT and IFG in overweighed or obese individuals were significantly higher than those with normal body mass index （P 〈 0.05）. The prevalence rates of IGT and IFG in centrally-obese individuals were significantly higher than those without centrally-obesity （P 〈 0.05）. The prevalence rates of IGT and IFG in hypertensive individuals were significantly higher than those without hypertension （P 〈 0.01）. （4）The prevalence rates of lGR in managerial officials, technicians were significantly higher than workers （P 〈 0.05）. （5）Chronic complications of IGT and IFG such as coronary heart disease,cerebrovascular diseasediabetic retinopathy, microalbuminuria were higher than those of normal glucose tolerance （NGT）. The difference in the incidence of microalbuminuria between IGT and NGT had statistical significance （P 〈 0.05）. Conclusions The prevalence rate of IGT in the urban district of Bengbu shows rapid increasing tendency, diabetic healthy education to middle and old-aged persons, the mental labours should be strengthened. IGR patients are high risk group

关 键 词：葡糖耐受不良 患病率 糖调节受损 蚌埠 

分 类 号：R587.1[医药卫生—内分泌] R151.3[医药卫生—内科学]