银川市城乡部分社区居民2型糖尿病患病率及危险因素分析  

Study on the prevalence of type Ⅱ diabetes and risk factors among residents from partial communities of Yinchuan City and Rural

作　　者：杨正贵[1] 刘兰[1] 刘秀英[1] 马正梅[1] 李正直[1] 

机构地区：[1]宁夏医科大学,宁夏银川750004

出　　处：《宁夏医学杂志》2009年第5期399-400,共2页Ningxia Medical Journal

基　　金：宁夏科技厅科技攻关项目(2007182)

摘　　要：目的了解银川市20岁以上常住居民2型糖尿病(DM)患病率及其影响因素,为2型糖尿病社区综合干预提供理论依据。方法采用分层整群随机抽样的方法对银川市某城市社区及郊区常住居民进行体格检查、问卷调查及血液生化等指标进行检测,并对危险因素进行Logistic回归分析。结果2型糖尿病患病率为5.0%,IFG患病率为4.0%;其中男、女性患病率分别为5.2%和4.8%,标化患病率为4.44%、2.43%,男性患病率高于女性(P<0.05);随着年龄增加糖尿病患病率呈升高的趋势(趋势χ2=67.09,P<0.01);多因素非条件Logistic回归分析显示,年龄、劳动强度、TC、TG、高血压、BM、IWHR是影响银川市DM的主要危险因素。结论控制体重、血脂、血压、倡导合理膳食、加强体育锻炼、规范治疗是银川市居民预防控制2型糖尿病的重要措施。Objective To study the prevalence and risk factors of type 2 diabetes mellitus （DM） in residents of Yinchuan and to provide the scientific bases of the intervention strategy for medical administrative. Methods Multi - stage random cluster sampling was employed to recruit subjects who were 20 years of age or over and were permanent residents of Yinchuan. Data were collected through a door to door survey, physical examination and laboratory testing. Risk factors of diabetes mellitus were analyzed by logistic regression. Results The prevalence of type 2 diabetes mellitus and IFG was 5.0% and 4.0% respectively , The gender specific rate was 5.2% for males and 4.8 % for females, and standardized prevalence rates are 4.44% ,2.43 % （ P 〈 0.05 ） ; The total prevalence rate was increased by age （trend test total X^2 = 67.09, P 〈 0.01 ） ; Multiple - logistic regression indicated that Age, TC, TG, Hypertention, MBI, WHR sociated with diabetes mellitus. Conclusions Age ,TC ,TG ,Hypertation,BMI ,WHR are DM risk factors through physical examination may treat as early as possible and avoid DM complications.

关 键 词：2型糖尿病 患病率 银川市、Logistic回归分析 

分 类 号：R587.1[医药卫生—内分泌]