西北农村不同民族之间糖尿病患病情况分析  

Prevalence of diabetes and pre-diabetes in different ethnic groups in the countryside of northwest China

作　　者：刘薇[1] 华琳[2] 宋惠玲 杨金奎[1] 戴新文[4] 刘万福[4] 

机构地区：[1]首都医科大学附属北京同仁医院内分泌科,北京100730 [2]首都医科大学生物医学工程学院数学教研室,北京100069 [3]宁夏固原市原州区疾病预防控制中心,宁夏固原756000 [4]宁夏师范学院医学院,宁夏固原756000

出　　处：《首都医科大学学报》2012年第3期389-393,共5页Journal of Capital Medical University

基　　金：宁夏高等学校科学技术研究项目(宁教高[2010]297)~~

摘　　要：目的了解西北农村回、汉民族糖尿病及其前期的患病情况和可能的影响因素。方法通过整群随机抽样确定调查人群,经手指血空腹、餐后2 h血糖初筛后确定高危人群,在高危人群中进行标准75 g口服葡萄糖耐量试验(oral glucose tolerancetest,OGTT),确定糖尿病及其前期阶段的患病人群。通过"糖尿病流行病学调查表"对抽样对象进行问卷调查,了解基本人口学资料,并进行统计分析。结果降低空腹血糖的切入点至5.6 mmol/L后发现,糖尿病及其前期患病情况在民族(P=0.001)、性别(P=0.047)和年龄分布(P=0.001)等方面差异有统计学意义。不同民族和性别的患者糖尿病及其前期阶段患病情况不同,回族患者女性高于男性(P=0.022)、汉族患者男性高于女性(P=0.001)。回族患者糖尿病标准化患病率(5.87%)高于汉族患者(3.07%)。结论不同民族的患者糖尿病及其前期的患病情况在性别、年龄分布上差异有统计学意义,生活习惯不同可能为重要因素。被调查人群的糖尿病相关知识知晓率普遍较低。Objective To investigate the prevalence of diabetes and pre-diabetes in different ethnic groups in the countryside of northwest China, and the possible risk factors. Methods After stratified sampling, the study was performed in all the subjects. Level of fasting blood glucose（ PBG 2h） and 2hr postprandial blood glucose were measured in all the participants using Roche＇s superior blood glucose meter. The FBG higher than 5.60 mmol/L （105mg/dl） and PBG2h higher than 7.8 mmol/L （140 mg/dl） were performed a 75 g oral glucose tolerance test. Questionnaire for diabetes epidemiologieal study was used to record the detail of all the subjects. Results The fasting blood glucose starting point was reduced to 5.6 rnmol/L, and it was found that there were significant differences of diabetes and pre- diabetes in different ethnic groups （P =0.00l ） and gender （P = 0.047 ）. There were significant difference in the prevalence in different gender groups in both Hui （P =0. 022） and Han group （P =0.001 ）. The standardized prevalence of diabetes was higher in Hui （5.87%） than in Han （3.07%）. Condttsion There were significant differences in diabetes and pre-diabetes in different ethnic groups, gender, and age. The habits in life of different ethnic groups were possible risk factors. The awareness rate was lower in all the subjects.

关 键 词：西北农村 民族 糖尿病 患病情况 

分 类 号：R589.1[医药卫生—内分泌]