福建省三明社区糖尿病及糖调节受损患病率现况调查  

Cross-sectional investigation of prevalence of diabetes and impaired glucose regulation in the urban area of Sanming,Fujian province

作　　者：邹欣 张娅东 朱风元 林丽香 

机构地区：[1]福建医科大学省立临床医学院 [2]三明市第一医院内分泌科 [3]福建省立医院内分泌科

出　　处：《中国临床新医学》2009年第1期32-34,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的了解东南沿海省份城市三明社区成人糖尿病（DM）以及糖调节受损（IGR）的患病率。方法采用分层随机整群抽样方法，在200710～2007—11期间，横断面调查三明市社区16岁以上居民551名。所有调查对象均接受问卷调查、体格测量以及口服葡萄糖耐量试验（OGTT）。结果三明市社区16岁以上居民糖尿病、糖调节受损患病率分别为10．5％和13．6％[单纯空腹血糖受损（I-IFG）1．5％，糖耐量减低（IGT）12．1％，以2000年中国总人口标化后患病率7．4％、11．3％（I-IFG：0．8％，IGT：10．5％）。55．17％为新诊断糖尿病患者，IGR/DM患病率达1．53。高血压、肥胖和超重人群患病率标化后分别为27．8％、8．7％和29．5％。结论三明市社区的糖尿病患病情况不容乐观，仍然有一大部分未及时诊断的糖尿病人群，随着地区的城市化加剧和人口的老龄化程度加剧，DM患病率将有更大幅度的升高。Objective To investigate the prevalence of diabetes and impaired glucose regulation among permanent inhabitants in Sanming, Fujian province. Methods 551 residents （over 16 years old） were selected from the urban area of Sanming by multistage cluster random .sampling between October and December in 2007. All the participants underwent anthropometric measurements, blood biochemical analyses and a 75 g OGTT. Results The crude prevalence of diabetes and IGR was 10.5 % and 13.6 % （1.5 % for I-IFG, 12.1% for IGT）, respectively. Based on the 2000 census of China, the age-standardized and sex-standardized prevalence of diabetes and IGR was 7.4% and 11.3% （0.8% for I-IFG, 10.5% for IGT）, with a ratio of IGR to DM 1.53. 55.17% of diabetes were undiagnc, sed. The age-standardized and sex-standardized prevalence of hypertension, obesity and overweight were 27.8% ,8.7% and 29.5% . Conclusion The prevalence rates for diabetes and IGR have increased dramatically over the last decades in Sanming, still a large proportion of cases are undiagnosed. With the aggravation of aging and urbanization, the prevalence of DM will increase faster than ever before.

关 键 词：糖尿病 糖调节受损 患病率 危险因素 

分 类 号：R181.3[医药卫生—流行病学]