嘉兴市秀洲区2009-2014年糖尿病流行病学调查研究  

Epidemiological features of diabetes mellitus in Xiuzhou of Jiaxing in 2009-2014

作　　者：朱秋荣[1] 骆田斌[1] 徐惠庆[1] 余梦华[1] 

机构地区：[1]嘉兴市秀洲区疾病预防控制中心,浙江嘉兴314000

出　　处：《中国预防医学杂志》2017年第8期613-617,共5页Chinese Preventive Medicine

摘　　要：目的了解嘉兴市秀洲区居民糖尿病的发病特征,为制定糖尿病的防控措施提供依据。方法通过浙江省慢性病监测管理信息系统导出2009-2014年嘉兴市秀洲区糖尿病患者个案资料,经核查整理后进行描述性分析。结果本研究共纳入糖尿病患者8 147例,以2型糖尿病为主,7 498例(92.03%)。年平均报告标化发病率为406.02/10万,非农人群标化发病率(511.58/10万)高于农民(386.31/10万),女性标化发病率(431.25/10万)高于男性(380.14/10万)。60~岁组糖尿病报告发病率最高,为831.38/10万。20~岁组糖尿病年均增长率最快,为41.16%。588例(7.22%)糖尿病患者在确诊时伴有并发症,男性314例(8.35%),高于女性274例(6.25%),差异有统计学意义(χ~2=13.36,P<0.01)。3 360例(41.24%)糖尿病患者在确诊时伴有1项或多项危险因素,农民2 781例(42.62%),高于非农人群579例(35.70%),差异有统计学意义(χ~2=25.70,P<0.01)。男性1 602例(42.60%),高于女性1 758例(40.08%),差异有统计学意义(χ~2=5.28,P=0.02)。结论嘉兴市秀洲区糖尿病报告发病率逐年增高,女性、非农业劳动者、青少年人群糖尿病发病增长迅速,且普遍携带较多危险因素,是糖尿病防控重点关注人群。Objective To understand the epidemiological characteristics of diabetes mellitus,and to provide evidence for disease control and prevention. Methods A descriptive epidemiological method was used to analyze the surveillance data of patients with diabetes mellitus recorded in the Information Management System of Chronic Diseases of Zhejiang Province from 2009 to 2014. Results A total of 8 147 patients were included in the study,92.03% of them had type 2 diabetes.The average annual report standardized incidence was 406.02/100 000.The standardized incidence was higher among individuals from urban area than those from rural area as well as among females than males.The highest incidence and the highest increase of annual incidence were found in 60-year age group and in 20-year age group.7.22% of patients had one or more clinical complications by the time they were diagnosed,which was higher in males than in females（8.35% vs 6.25%,χ^2=13.36,P〈0.01）,and 41.24% of patients had one or more risk factors by the time they were diagnosed,which was higher among those from rural area than from urban area（42.62% vs 35.70%,χ^2=25.70,P〈0.01）. Conclusions The incidence of diabetes mellitus increases rapidly each year,especially among female residents,individuals from urban area and young adults.Specific interventions should be introduced to control the increase.

关 键 词：糖尿病 发病率 并发症 危险因素 流行病学调查 

分 类 号：R587.1[医药卫生—内分泌]