辽宁鞍山地区成年人糖尿病患病率调查及相关危险因素分析  

A prevalence survey of adult diabetes mellitus in Liaoning Anshan and its related risk factors

作　　者：曾芙蓉[1] 王晓露[1] 许惟元[2] 刘星[1] 郭海兰[1] 李凡[1] 

机构地区：[1]辽宁省鞍山市中心医院内分泌科,114001 [2]辽宁省鞍山市中心医院科教科,114001

出　　处：《中国医师进修杂志》2016年第5期411-414,共4页Chinese Journal of Postgraduates of Medicine

基　　金：2013年鞍山市科技计划项目（2013YILIA08）

摘　　要：目的了解辽宁鞍山地区糖尿病及糖尿病前期的患病率及知晓率，并进一步分析影响糖尿病高发的危险因素。方法本研究在辽宁鞍山地区随机选取受试者2500例。详细调查受试者一般情况等，筛选空腹血糖≥5．6mmol／L者或有糖尿病高危因素者，进行75g口服葡萄糖耐量试验。结果辽宁鞍山地区20岁以上成年人糖尿病标化后总体患病率为8．2％，糖尿病前期标化后总体患病率为14．8％。随年龄的增长，糖尿病、糖尿病前期患病率增加，差异有统计学意义（P〈0．05）。糖尿病知晓率为52．3％（125／239），糖尿病前期知晓率为8．7％（35／402）。Logistic回归分析结果表明，年龄、糖尿病家族史、超重或肥胖、腰围、高三酰甘油血症为糖尿病的危险因素（P〈0．01或〈0．05），经常运动为保护因素（P〈0．05）。结论辽宁鞍山地区有较高的糖尿病和糖尿病前期患病率，糖尿病和糖尿病前期的知晓率低。Objective To investigate the prevalence and awareness rate of adult diabetes mellitus and the risk factors in Liaoning Anshan. Methods A cross-sectional population survey was performed among residents in Liaoning Anshan and 2 500 subjects participated. Subjects whose fasting plasma glucose ≥ 5.6 mmol/L were confirmed by oral glucose tolerance test （OGTT）. Results The standardized prevalence of adult diabetes mellitus over the age of 20 in Liaoning Anshan was 8.2%, and the standardized prevalence of pre-diabetes mellitus was 14.8%. The prevalence of diabetes mellitus increased with age （P 〈 0.05）. The awareness rate of diabetes mellitus in Liaoning Anshan was 52.3% （125/239）, and the awareness rate of pre-diabetes mellitus was 8.7% （35/402）. Logistic regression indicated that age, family history of diabetes, overweight or obesity, waist circumference, hypertriaeylglycerolemia was the risk factors （P 〈 0.05）, while regular exercise was protective factor （P 〈 0.05）. Conclusions The current prevalence of diabetes mellitus and pre-diabetes mellitus in Liaoning Anshan is higher, and the awareness rate is lower.

关 键 词：糖尿病 患病率 知晓率 横断面研究 

分 类 号：R587.1[医药卫生—内分泌]