甘肃白银地区成人糖尿病流行病学调查分析  

The epidemiologic survey of adult DM and IGR in Baiyin district Gansu province

作　　者：孟作龙[1] 胡增军[2] 张艳丽[3] 王晓敏[1] 安思芹[1] 韩月香[1] 杨惠珍[1] 张立莹[1] 周颖[4] 

机构地区：[1]兰州大学附属白银医院内分泌科,甘肃白银730900 [2]兰州大学附属白银医院医务科,甘肃白银730900 [3]兰州大学附属白银医院体检中心,甘肃白银730900 [4]兰州大学附属白银医院内分泌实验室,甘肃白银730900

出　　处：《中国实用内科杂志》2009年第10期910-912,共3页Chinese Journal of Practical Internal Medicine

基　　金：甘肃省白银市科技局资助(GK20053-2-007A)

摘　　要：目的调查分析甘肃白银地区成人糖尿病(DM)及糖调节受损(IGR)的流行病学特点。方法随机整群抽样调查20～74岁城乡常住居民3500名,测定空腹与口服75g葡萄糖后2h血糖,分析DM和IGR的患病率及其影响因素。结果DM、IGR患病率分别为4.26%(人口标化率为3.55%)和5.26%(人口标化率为4.46%);单纯IFG者1.09%、单纯IGT者1.17%、IFG与IGT并存者3.00%,分别占IGR患者的20.6%、22.3%和57.1%;DM新诊断率为65.1%,农村高达78.9%。结论甘肃白银地区成人糖尿病及IGR的患病率、糖尿病的发现率低于我国发达地区;无论仅以空腹血糖或仅以餐后2h血糖作为筛查指标,都会造成20%以上的IGR患者被漏诊。Objective To investigate the epidemiologic characteristics of adult DM and IGR. Methods 3500 local urban and rural inhabitants were enrolled in this randomized cluster sampling suvey. We determined the serum glucose level in fasting state and at 2 hours after 75g glucose oral administration so that we can analyze the morbidity of DM and IGF and influencing factors. Results The morbidity of DM and IGF were 4. 26% （ Population standardized rate = 3.55% ） and 5.26% （Population standardized rate =4. 46% ） respectively;The morbidity of IFG, IGT and IFG combined with IGT is 1.09% ,1.17% and 3.00% respectively,which accounted 20. 6% ,22. 3% and 57. 1% in IGR respectively. The new diagnose rate of DM was 65.1% ,which was 78.9% in rural inhabitants,especially higher than urban inhabitants. Conclusion Compared with the developed area, the morbidity of adult DM and IGR, and the diagnosis rate of DM in the developing area is lower;whether we choose fasting serum glucose only or 2 hours postprandial serum glucose only as the screening index,there will be always more than 20% missed in IGR.

关 键 词：糖尿病 糖调节受损 流行病学调查 空腹血糖 

分 类 号：R5[医药卫生—内科学]