广西贵港市市辖区人群糖尿病及糖尿病前期横断面调查  

Prevalence of diabetes and prediabetes in three districts of Guigang,Guangxi:a cross-sectional study

作　　者：陆丽芳[1] 谭海涛[1] 陈昌枝[1] 贾秋红[1] 李艳[1] 林东源[1] 张洪[1] 刘志梅[1] LU Li-fang; TAN Hai-tao; CHEN Chang-zhi; JIA Qiu-hong; LI Yan; LIN Dong-yuan; ZHANG Hong; LIU Zhi-mei(People＇s Hospital of Guigang City, Guigang, Guangxi 537100, China)

机构地区：[1]广西壮族自治区贵港市人民医院,广西贵港537100

出　　处：《热带医学杂志》2018年第10期1336-1341,1345,共7页Journal of Tropical Medicine

基　　金：广西科学研究与技术开发计划项目科技成果转化与推广计划;广西壮族自治区科学科技厅基金(桂科转1599001-3)

摘　　要：目的了解贵港市市辖区糖尿病及糖尿病前期患病情况及高危因素。方法采用分层整群抽样方法,在贵港市市辖区(港北区、港南区、覃塘区)20岁以上城乡居民人群中进行横断面调查,对所有研究对象进行问卷调查和常规体格检查,采用口服葡萄糖耐量实验(OGTT)进行糖尿病筛查。共完成有效例数为30 252例。采用SPSS23.0统计软件进行单因素及多因素分析。结果糖尿病检出率为14.5%,其中男性检出率为16.2%,女性检出率为13.4%。糖尿病前期检出率为19.8%,其中男性检出率为21.3%,女性检出率为18.8%。糖尿病高危因素:男性(OR=1.473,95%CI:1.345～1.613)、40岁以上(OR=2.442,95%CI:1.783～3.344)、超重及肥胖人群(OR=7.958,95%CI:5.900～10.734;OR=9.848,95%CI:7.132～13.600)、城镇人口(OR=1.157,95%CI:1.041～1.285)、汉族(OR=1.290,95%CI:1.145～1.453)、文化程度相对低(OR=1.574,95%CI:1.183～2.095)、家族有糖尿病(OR=2.733,95%CI:2.395～3.120)、高血脂(OR=1.667,95%CI:1.453～1.913)、肾病史人群(OR=1.526,95%CI:1.248～1.865)(P<0.05);中度活动、重度/极重度活动类型人群患糖尿病的风险明显降低(OR=0.839,95%CI:0.720～0.977;OR=0.814,95%CI:0.701～0.946)。糖尿病前期危险因素为男性(OR=1.178,95%CI:1.088～1.275)、40岁以上人群(OR=1.421,95%CI:1.163～1.736)、超重及肥胖(OR=1.235,95%CI:1.068～1.429;OR=1.484,95%CI:1.220～1.804)、家族高血脂病史人群(OR=1.230,95%CI:1.082～1.397)(P<0.05)。结论广西贵港市市辖区糖尿病及糖尿病前期患病率高于2010年的全国调查水平,男性、40岁以上、超重及肥胖等为糖尿病及糖尿病前期的危险因素,应采取措施进一步加强对城乡居民糖尿病的防治。Objective To estimate the prevalence and risk factors of diabetes and prediabetes in three districts of Guigang,Guangxi. Methods This was a cross-sectional study that recruited residents over 20 years old in three districts of Guigang（Gangbei district,Gangnan district and Qintang district）using stratified-cluster sampling method. All people attended questionnaire and routine physical examination. Oral glucose tolerance test（75 g OGTT）was hosted to screen and diagnose diabetes;SPSS23.0 was used to analyze single factor and multiple factor. The total valid cases were 30 252. Results The detection rate of diabetes was 14.5%,among which male detection rate was 16.2% and female detection rate was 13.4%.Meanwhile,the detection rate of prediabetes was 19.8%,among which male detection rate was 21.3% and female detection rate was 18.8%. The results of Logistic regression analysis of diabetes risk factors were male（OR=1.473,95%CI：1.345～1.613）,over 40 years old（OR=2.442,95%CI：1.783～3.344）,overweight and obesity（OR=7.958,95%CI：5.9～10.734;OR=9.848,95%CI：7.132～13.6）,urban residents（OR=1.157,95%CI：1.041～1.285）,Han nationality（OR=1.290,95%CI：1.145～1.453）,poorly educated（OR=1.574,95%CI：1.183～2.095）,with family history of diabetes（OR=2.733,95%CI：2.395～3.120）,hyperlipidemia（OR=1.667,95%CI：1.453～1.913）and renal disease（OR=1.526,95%CI：1.248～1.865）（P〈0.05）. The risk of diabetes was significantly reduced in people with moderate activity,severe/extremely severe activity type （OR=0.839,95% CI：0.720～0.977;OR=0.814,95% CI：0.701～0.946）. The results of Logistic regression analysis of prediabetes risk factors were male（OR=1.178,95%CI：1.088～1.275）,over 40 years old（OR=1.421,95%CI：1.163～1.736）,overweight and obesity（OR=1.235,95% CI：1.068～1.429;OR=1.484,95% CI：1.220～1.804）,and with family history of hyperlipidemia（OR=1.230,95%CI：1.082～1.397）（P〈0.05）. Conclusions The prevalence of diabetes in three distri

关 键 词：糖尿病 糖尿病前期 横断面调查 

分 类 号：R587.1[医药卫生—内分泌]