广州市华南农业大学社区居民2型糖尿病影响因素分析  

Analysis on the Influence Factors of Type 2 diabetes Mellitus among South China Agricultural University Community Residents in GuangZhou

作　　者：周英[1] 范穗光[1] 陈晓聪[1] 

机构地区：[1]华南农业大学医院,广州510642

出　　处：《中国初级卫生保健》2017年第4期35-37,共3页Chinese Primary Health Care

摘　　要：目的了解社区居民2型糖尿病发病情况,分析其影响因素,为制定针对性的防控措施提供依据。方法利用华南农业大学社区居民健康档案,将2014年1月—2015年12月建档时新发现的628例2型糖尿病患者作为病例组,选取年龄接近的628名未发现2型糖尿病的居民作为对照组,进行问卷调查、体格检查和实验室检查,利用χ~2检验、非条件logistic回归模型分析2型糖尿病患者的相关影响因素。结果χ~2检验结果提示:两组糖尿病家族史、饮酒、高血压、总胆固醇、甘油三酯、低密度脂蛋白胆固醇、中心性肥胖和体质指数等方面差异有统计学意义(P<0.05)。进一步建立非条件logistic回归模型分析发现,高血压、总胆固醇升高、甘油三酯升高、低密度脂蛋白胆固醇升高、有中心性肥胖及超重或肥胖是华南农业大学社区居民发生2型糖尿病的独立危险因素。结论制定广州市社区2型糖尿病综合防治措施,有针对性地对有高血压、总胆固醇升高、甘油三酯升高、低密度脂蛋白胆固醇升高、中心性肥胖及超重或肥胖等因素的高危人群进行重点干预,可以降低2型糖尿病的发生。OBJECTIVE To analyze the influence factors of type 2 diabetes mellitus（T2DM） among South China Agricultural University community residents in Guangzhou. To provide references for making preventive strategies and interventions. METHODS Selecting 628 community residents in South China Agricultural University with new-found T2DM as case group, 628 community residents with- out T2DM as control group. RESULTS The ehi-square test showed with family diabetic history, alcohol drinking, with hypertension, with a higher serum total cholesterol（TC）, with a higher Low-density lipoprotein（LDL-C）, with a higher triglyeeride（TG）, central obesity, overweight or obesity, which was significance high risk for T2DM（P〈0.05）. the multivariate logistic regression analysis showed that the risk factors of T2DM included hypertension, high TC, high LDL-C, high TG, central obesity, overweight or obesity. CONCLUSION Corresponding strategies should be made to reduce the incidence of T2DM, intervene the community residents with hypertension, high TC, high LDL-C, high TG, central obesity, overweight or obesity.

关 键 词：2型糖尿病 社区 LOGISTIC回归 影响因素 

分 类 号：R587.1[医药卫生—内分泌]