成都市城乡社区中老年居民糖代谢异常的患病率和知晓率及控制达标率  

Urban and Rural Comparative Study of the Prevalence,Awareness and Control Rate of Abnormal Glucose Metabolism in Chengdu Residents

作　　者：赵茜[1] 廖晓阳[1] 李志超[1] 何慧 段雪梅 雷弋[1] 黄体艳 李双庆[1] 

机构地区：[1]四川大学华西医院全科医学科,四川省成都市610041 [2]成都市建设路社区卫生服务中心 [3]成都市大邑县蔡场镇公立卫生院

出　　处：《中国全科医学》2013年第33期3979-3981,共3页Chinese General Practice

基　　金：四川省卫生厅基金项目(080273;090324)

摘　　要：目的 探讨成都市城市和乡村社区中老年居民糖代谢异常的患病率、知晓率及控制达标率现状.方法 采用随机整群抽样法,选取2010年3-12月成都市城市和农村35～70岁中老年人群,共调查2 031人,其中城市1 015人,农村1 016人.采用问卷调查和标准口服葡萄糖耐量试验（OGTT）进行研究.观察城市和乡村人群糖尿病和糖尿病前期患病率、知晓率及控制达标率.结果 2 031人中376人（18.51%）患糖尿病,其中城市265人,农村111人,人口标化患病率为22.77%,其中城市标化患病率为35.93%,高于农村的10.50%（χ2=84.85,P＜0.05）;664人（32.69%）为糖尿病前期,其中城市328人,农村336人,糖尿病前期人口标化患病率为33.42%,其中城市为35.10%,高于农村的32.52%（χ2=7.45,P＜0.05）.糖尿病的知晓率为24.47%（92/376）,其中城市为29.81%（79/265）,高于农村的11.71%（13/111）（χ2=13.87,P＜0.05）;糖尿病前期的知晓率为1.51%（10/664）,其中城市为2.44%（8/328）,高于农村的0.60%（2/336）（χ2=3.80,P＜0.05）.调查前城市社区有79人已知患糖尿病,空腹血糖控制达标率为3.80%（3/79）,而13例农村糖尿病患者无一人空腹血糖控制达标,差异无统计学意义（χ2=0.51,P＞0.05）.城市和乡村糖尿病患者空腹血糖水平分布比较,差异有统计学意义（u=-5.033,P＜0.05）.结论 成都市农村糖尿病的知晓和控制现状落后于城市,而糖尿病前期人群已迅速增加接近城市.应重视在农村推广OGTT的糖尿病筛查工作提高知晓率,在农村全人群中积极开展预防糖尿病发生的健康知识宣教,对糖尿病患者强化血糖控制达标.Objective To investigate the urban and rural prevalence, awareness, and control rate of abnormal glu- cose metabolism among citizens in Chengdu area. Methods 2 031 people aged from 35 to 70 （ 1 015 from urban area and 1 016 from rural area） were selected from March to December in 2010 by using random cluster sampling method. Questionnaires and oral glucose tolerance test （OGTr） were used to perform the research. The prevalence, awareness and control rate of abnormal glu- cose metabolism were observed. Results 376 （ 18.51% ） out of the 2 031 people had diabetes （265 from urban area, 111 from rural area）, with a standardized prevalence of 22. 77%. The standardized prevalence of urban area was 35. 93%, significantly higher than the 10. 50% of the rural area （x2 =84. 85, P 〈0. 05） . 664 （32. 69% ） people heal the pre -diabetes （328 from urban area, 336 from rural area）, the pre - diabetes prevalence was 33.42%, with the urban area being 35. 10%, significantly higher than the 32. 52% of the rural area （x2 = 7.45, P 〈 0. 05 ） . The diabetes awareness was 24. 47% （92/376）, with the urban area being 29. 81% （79/265）, significantly higher than the 11.71% （ 13/111 ） of the rural area （ X2 = 13.87, P 〈 0. 05）. The pre - diabetes awareness was 1.51% （ 10/664）, with the urban area being 2.44% （8/328）, significantly higher than the 0. 60% （2/336） of the rural area （ x2 = 3.80, P 〈 0.05） . 79 people in the urban area were know diabetes cases before the survey and the control rate of fasting blood glucose was 3.80% （3/79） . No one out of the 13 cases in the rural area had satisfactory control rate of fasting blood glucose, and the difference between the urban area and rural area was not statistically sig- nificant （ ~2 = 0. 51, P 〉 0. 05 ） . The level of fasting blood glucose between urban area and rural area showed statistically signifi- cant difference （ u = - 5. 033, P 〈 0. 05） . Conehtsion The rural diabetes awareness and control are far

关 键 词：糖尿病 葡萄糖代谢障碍 患病率 城市 

分 类 号：R587.1[医药卫生—内分泌]