中老年农村居民糖尿病现况调查  

A cross-sectional study on diabetes mellitus among middle-aged and elderly residents in rural areas

作　　者：胡如英[1] 俞敏[1] 沈玉华[2] 何青芳[1] 潘劲[1] 叶真[1] 曹纳新[2] 宁光[3] 

机构地区：[1]浙江省疾病预防控制中心,浙江杭州310051 [2]嘉善县疾病预防控制中心 [3]上海交通大学医学院附属瑞金医院

出　　处：《浙江预防医学》2014年第10期973-976,985,共5页Zhejiang Journal of Preventive Medicine

基　　金：中华医学会临床医学科研专项基金(13040530438)

摘　　要：目的了解中老年农村居民糖尿病(DM)患病、知晓、治疗和控制现况。方法采用分层整群抽样法,对嘉善县9个乡镇(街道)10 100名40岁及以上中老年居民进行问卷调查、体格检查和血糖检测;描述性分析中老年居民糖尿病现况。结果中老年农村居民DM患病率为16.04%,标化患病率为17.07%;糖调节受损率、空腹血糖受损率和糖耐量减低受损率分别为24.93%、10.16%和19.30%。DM知晓率为49.47%,女性为51.96%,高于男性的46.41%(P<0.05)。DM知晓者中,采用药物治疗、饮食治疗和合理运动的比例分别为79.52%、89.41%和52.46%,女性采用饮食治疗的比例为92.81%,高于男性的84.73%(P<0.05);DM患者血糖控制率为43.43%。结论嘉善县中老年农村居民糖尿病及其前期患病率处于较高水平,DM知晓率和控制率均处于较低水平;需采取综合干预措施,提高农村居民糖尿病及其前期患者的知晓率和控制率。Objective To explore the prevalence,awareness,treatment and control status of diabetes mellitus（ DM ） among middle- aged and elderly residents in rural areas. Methods Using stratified cluster sampling,10,100 local residents aged≥40 years were collected from 9 towns in Jiashan county. A face to face interview was conducted using structured questionnaire. The data of height,weight,serum lipids,blood pressure and fasting plasma glucose were obtained. Results The prevalence rate of DM in middle-aged and elderly rural residents was 16. 04%,with the age-standardized prevalence of 17. 07%. The rates of impaired glucose regulation（ IGR）,impaired fasting glucose（ IFG）and impaired glucose tolerance（ IGT）were 24. 93%,10. 16% and 19. 30%,respectively. The awareness rate of DM was 49. 47%,which was significantly higher in females（51. 96%）than in males（46. 41%）. Among patients who were aware of their DM,the rates of taking drug therapy,dietary therapy and exercise therapy were 79. 52%,89. 41% and 52. 46%, respectively,and the rate of taking dietary therapy was higher in females（92. 81%）than in males（84. 73%）. The control rate of DM was 43. 43%. Conclusion The prevalence rates of DM among middle-aged and elderly rural residents in Jiashan is high,while the rates of awareness,treatment and control of DM are relatively low. Improving the awareness, treatment and control is urgently needed for intervention of DM.

关 键 词：中老年 糖尿病 患病率 知晓率 控制率 

分 类 号：R587.1[医药卫生—内分泌] R195.4[医药卫生—内科学]