欠发达地区城镇居民糖尿病及IGR流行病学调查  

EPIDEMIOLOGICAL INVESTIGATION AND ANALYSIS ON THE DM AND IGR IN UNDEVELOPED AREAS

作　　者：王晓敏[1] 张艳丽[1] 孟作龙[1] 胡增军[1] 韩月香[1] 

机构地区：[1]甘肃兰州大学附属向银医院,白银730900

出　　处：《现代预防医学》2010年第10期1879-1880,1894,共3页Modern Preventive Medicine

基　　金：甘肃省白银市科技局资助项目(GK20053-2-007A)

摘　　要：[目的]调查分析欠发达地区城镇居民糖尿病（DM）和糖调节受损（IGR）的流行病学特点。[方法]随机整群抽样调查甘肃白银市县20~74岁城镇常住居民3175名。[结果]DM患病率为5.23%,人口标化率为4.63%,新诊断率为62.05%;IGR患病率为6.46%,人口标化率为5.72%。单纯IFG者1.32%、单纯IGT者1.48%,IFG与IGT并存者3.65%,分别占IGR患者的20.49%、22.93%和56.59%。[结论]欠发达地区城镇居民糖尿病和糖调节受损的患病率低于我国发达地区,糖尿病发现率低于发达地区;无论仅以空腹血糖（FPG）或仅以餐后2h血糖（2hPG）作为血糖筛查指标,都会造成20%以上的IGR患者被漏诊。[Objective] To investigate and analyze the epidemiological trait for DM and IGR in undeveloped areas town. [Methods] By using randomized cluster sampling method, we investigate 3175 town residents at the range of 20 to 74 years old in Baiyin of Gansu province. [Results] The prevalence rate of DM was 5.23%, and the standardized rate was 4.63%, and the newly diagnosed rate was 62.05%; The prevalence rates of IGR was 6.46%, and the standardized rate was 5.72%. The isolated IFG was 1.32%, and the isolated IGT was 1.48%, and both IFG/IGT was 3.65%. The proportions of I-IFG, I-IGT and IFG/IGT to IGR were 20.49%, 22.93% and 56.59%, respectively. [Conclusion] The prevalence rate of DM and IGR in the undeveloped areas town was lower than that of the developed areas, and the discovery rate of DM was lower than that of the developed areas; if only using fasting glucose or postprandial glucose to blood glucose screening guideline, the escape rate of IGR will be larger than 20%.

关 键 词：糖尿病 糖调节受损 患病率 调查 

分 类 号：R587.1[医药卫生—内分泌]