酒泉市成人2型糖尿病流行病学调查及防治对策研究  

Epidemiological survey and prevention and treatment strategies on type 2 diabetes of adults in Jiuquan city

作　　者：汪戈明 张琦[1] 马亚娜[2] 张晓勇 蔺国瑞 赵虹[1] 李富宏 王宝虎[6] 赵铁军[7] 杨小平[8] 张成荣[9] 刘静[1] 郝丽[1] 

机构地区：[1]甘肃省玉门油田医院内分泌科,甘肃酒泉735019 [2]甘肃省玉门油田医院功能科,甘肃酒泉735019 [3]甘肃省酒泉市瓜州县人民医院,甘肃酒泉736100 [4]甘肃省酒泉市肃州区卫生局,甘肃酒泉735000 [5]甘肃省玉门油田医院药械科,甘肃酒泉735019 [6]甘肃省玉门油田医院体检中心,甘肃酒泉735019 [7]甘肃省玉门油田医院检验科,甘肃酒泉735019 [8]甘肃省玉门油田医院内三科,甘肃酒泉735019 [9]甘肃省玉门油田医院外一科,甘肃酒泉735019

出　　处：《中国现代医生》2016年第31期129-134,共6页China Modern Doctor

摘　　要：目的 调查甘肃省酒泉市成人2型糖尿病（Type 2 Diabetes Mellitus,T2DM）、糖调节受损（Impaired Glucose Regulation,IGR）的相关危险因素及患病率情况。方法 根据流行病学抽样调查基本原则,运用整群、分层、随机抽样的方法,对甘肃省酒泉市人群[年龄20-74岁常住居民（5年及5年以上）]进行抽样调查。最终有1984例（男957例,女1027例）完成该项研究。结果 酒泉市成人2型DM患病率为10.7%,其中新发2型DM患病率为4.8%,已诊断2型DM患病率为5.9%。男性患病率为13.2%,女性患病率为8.5%。城市人群2型DM患病率为10.5%,农村人群2型DM患病率为10.9%。IGR患病率为16.0%。新发IGR患病率为15.9%。在多变量逻辑模型中,体重指数（Body Mass Index,BMI）、家族史、血脂、饮酒、吸烟与2型糖尿病的风险增加有显著相关性（P〈0.05）;家族史、超重肥胖、收缩压升高、血脂升高、吸烟、饮酒与糖调节受损的风险增加有显著相关性（P〈0.05）。结论 酒泉市2型DM及IGR患病率显著增高,男性患病率高于女性,城市高于农村;体重、年龄、性别、遗传、血脂、教育文化程度、城市居住与吸烟、饮酒是T2DM和IGR的危险因素。Objective To investigate the prevalence facts and related risk factors of type 2 diabetes and impaired glucose regulation of adults in Jiuquan city of Gansu province. Methods According to the basic principles of epidemiological sur- vey, the study randomly assigned 1984（957 males, 1027 females） permanent inhabitants（5 years and more than 5 years） aged 20-74 years using cluster, stratified random sampling method. Results The morbidity rate of type 2 diabetes of adults in Jiuquan city was 10.7%, which of the morbidity rate of new-onset patients was 4.8% and the morbidity rate of patients had been diagnosed was 5.9%. The morbidity rate of T2DM of male was 13.2% and the female＇s was 8.5%. The morbidity rate of T2DM of the urban citizens was 10.5% and the rural citizens＇ was 10.9%. The morbidity rate of impaired glucose regulation of citizens was 16.0%, of which the morbidity rate of the new-onset patients was 15.9%. Inmultivariate Logistic model, body mass index（BMI）, family history~ blood lipids, smoking and drinking were related to increasing risk of T2DM significantly （P〈0.05）. Family history, overweight and obesity, elevated systolic blood pres- sure, elevated blood lipids, smoking and drinking were related to increasing risk of IGR significantly（P〈0.05）. Con- clusion The morbidity rate of T2DM and IGT of citizens in Jiuquan city is significantly higher, of which the morbidity rate of male is higher than female＇ s and the morbidity rate of urban citizens is higher than rural citizens＇. Weight（BMI）, age, gender, genetics, blood lipids, education, urban living, smoking, drinking are risk factors for T2DM and IGR.

关 键 词：酒泉市 2型糖尿病 糖调节受损 流行病学调查 患病率 

分 类 号：R587.1[医药卫生—内分泌]