新疆8个县居民糖尿病流行情况及个人相关特征分析  

Analysis on prevalence of diabetes mellitus and personal characteristics of residents in 8 counties of Xinjiang

作　　者：张荣[1] 廖佩花[1] 者炜[1] 刘来新[1] 张云君[1] 甫尔哈提.吾守尔 

机构地区：[1]新疆维吾尔自治区疾病预防控制中心慢性非传染性疾病防治科,新疆乌鲁木齐830002

出　　处：《中华疾病控制杂志》2017年第11期1096-1101,共6页Chinese Journal of Disease Control & Prevention

基　　金：新疆维吾尔自治区卫生计生委青年科技人才专项科研项目(2016Y28)

摘　　要：目的探讨新疆8个县常住居民血糖情况及与相关个人特征的关系。方法 2013-2014年在新疆8个县采用多阶段分层整群随机抽样方法,调查4 779例18岁及以上者的常住居民。采用面对面调查、身体测量和实验室检测的方法,收集个人相关特征、血糖、高血压、血脂等情况。结果新疆8个县常住居民糖尿病患病率为16.62%,糖耐量减低患病率为14.16%,空腹血糖受损患病率为4.97%,正常血糖者为64.25%。汉族和维吾尔族的糖尿病患病率差异有统计学意义(x^2=116.893,P<0.001),汉族的糖尿病患病率(21.14%)高于维吾尔族(8.81%)。Logistic分析显示,汉族是否患糖尿病与年龄、超重肥胖、中心性肥胖、患有高血压、血脂异常有关;维吾尔族是否患糖尿病与年龄、地区、超重肥胖、患有高血压、血脂异常有关。结论新疆8个县常住居民糖尿病患病率较高,应进一步加强基本公共卫生服务糖尿病病人的管理。Objective To investigate the relationship between blood glucose and personal characteristics of residents in 8 counties of Xinjiang. Methods A total of 4 779 residents,who were 18 years old and above,were sampled by stratified cluster random sampling method in 8 counties of Xinjiang,2013-2014. Personal characteristics,blood glucose,hypertension and dyslipidemia were collected by face to face investigation,physical measurements and laboratory testing.Results The prevalence of diabetes mellitus,impaired glucose tolerance（ IGT）,impaired fasting glucose（ IFG） and normal blood glucose was 16. 62%,14. 16%,4. 97% and 64. 25%,respectively in 8 counties of Xinjiang. There was a significant difference of diabetes mellitus between Han and Uygur groups（ x^2= 116. 893,P 0. 001）. The prevalence of diabetes mellitus of Han（ 21. 14%） was higher than that of Uygur（ 8. 81%）. Age,over weight/obesity,central obesity,hypertension and dyslipidemia were related to diabetes mellitus in Han ethnic group. Age,region,over weigh/obesity,hypertension and dyslipidemia were related to diabetes mellitus in Uygur ethnic group by Logistic analysis. Conclusions The prevalence of diabetes was high in Xinjiang. The management of diabetes mellitus in basic public health services should be further strengthened.

关 键 词：血糖 血脂异常 横断面研究 

分 类 号：R587.1[医药卫生—内分泌] R181.2[医药卫生—内科学]