荆州市血吸虫患者中糖尿病患病率调查  

Prevalence rate of diabetes in patients with schistosomiasis in Jingzhou City

作　　者：杜爱民[1] 钟雯[1] 李永国[1] 曾姣娥[1] 

机构地区：[1]湖北省荆州市中心医院内分泌科,荆州市434000

出　　处：《中华实验和临床感染病杂志（电子版）》2017年第1期77-80,共4页Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition)

基　　金：荆州市科技局科技计划项目(No.20130315)

摘　　要：目的调查荆州市血吸虫病患者糖尿病的患病率。方法于荆州市附近县市抽取5个乡镇,由镇血防站调取诊断明确的血吸虫患者名单,对其实验室生化检测资料进行统计,然后在5个乡镇选取5个村血吸虫患者进行现场检测,评估血糖水平。对未检测的患者进行电话访问,以核实患者的患病状情况、生活方式及治疗状况。结果共调查30周岁以上成年人139 289人,其中糖尿病患者8 553人,患病率6.14%;血吸虫患者1 689人,血吸虫病合并糖尿病患病57例,患病率为3.37%,与普通人群糖尿病患病率比较,差异具有统计学意义(χ~2=22.26,P<0.001)。血吸虫患者中,糖尿病患者和非糖尿病患者Cr、.AST、ALT和GGT水平差异无统计学意义。结论血吸虫病患者的糖尿病患病率低于普通人群糖尿病患病率。Objective To investigate the prevalence rate of diabetes mellitus in patients with schistosomiasis in Jingzhou. Methods Five towns were selected from nearby counties of Jingzhou, patients with schistosomiasis were collected from Schistosomiasis Control Station of the town. The clinical data were analyzed, patients with schistosomiasis from five villages were selected to make a glucose test on site, the remaining patients were followed up by phones to make clear their illness condition, lifestyle and treatment strategy. Results Total of 139 289 adults older than 30 years old were investigated, among whom, 8 553 were patients with diabetes mellitus, the prevalence rate was 6.14%. There were 1 689 patients with schistosomiasis, and only 57 patients had diabetes mellitus, with the prevalence rate of 3.37%, significantly lower than that of the general population prevalence rate （X^2 = 22.26, P 〈 0.001）. There were no significant differences between diabetes mellitus and non-diabetes mellitus of patients with schistosomiasis in levels of Cr, AST, ALT and GGT. Conclusions The prevalence rate of diabetes mellitus in patients with schistosomiasis was lower than that of the general population.

关 键 词：糖尿病 血吸虫病 患病率 调查 

分 类 号：R532.21[医药卫生—内科学] R587.1[医药卫生—临床医学]