海南省城乡居民糖尿病患病率及合并其他慢性代谢性疾病调查  

Investigation on the prevalence of diabetes and its chronic metabolic comorbidities among urban and rural residents in Hainan

作　　者：林乐韦华[1] 欧倩滢[1] 林璐[2] 张华川[1] 陈开宁[1] 陈道雄[1] 全会标[1] 方团育[1] LIN Le-wei-hua;OU Qian-ying;LIN Lu;ZHANG Hua-chuan;CHEN Kai-ning;CHEN Dao-xiong;QUAN Huiiao;FANG Tuan-yu(Department of Endocrinology,Hainan General Hospital,Hainan Affiliated Hospital of Hainan Medical University,Haikou 570311,China;Department of Endocrinology,The First Medical Center of PLA General Hospital,Beijing 100853,China)

机构地区：[1]海南省人民医院内分泌科,海南医学院附属海南医院,海南海口570311 [2]解放军总医院第一医学中心内分泌科,北京100853

出　　处：《中国热带医学》2021年第9期839-844,共6页China Tropical Medicine

基　　金：海南省重点研发计划项目(No.ZDYF2018130,ZDYF2019156);海南省卫生计生行业科研项目(No.19A200034,20A200092)。

摘　　要：目的调查海南省城乡居民糖尿病患病率及合并其他慢性代谢性疾病情况。方法于2018—2020年采用多阶段分层整体抽样方法调查海南省≥18岁城市和乡村常住居民,通过问卷方式记录调查对象的社会人口学信息、生活方式和疾病史,测量身高、体重、腰围、血压,检测空腹血糖、OGTT-2h血糖、糖化血红蛋白、尿酸、血脂等生化指标。结果共选择2136名≥18岁居民,总糖尿病、新诊断糖尿病、既往确诊糖尿病和糖尿病前期患病率分别为16.0%、11.8%、4.2%和25.0%。城市和乡村新诊断患病率分别为为10.1%和13.4%,差异有统计学意义(P<0.05)。糖尿病知晓率、治疗率和控制率分别为25.8%、15.2%和42.3%。男性、受教育程度低、超重和肥胖、有糖尿病家族史人群总糖尿病、新诊断糖尿病和糖尿病前期的患病率较高。糖尿病及糖尿病前期的患病率均随着年龄的增长而增加。所有糖尿病人群中有40.2%合并高血压,51.6%合并血脂异常,40.5%合并超重,13.2%合并肥胖,26.1%合并高尿酸血症,87.4%合并代谢综合征,均高于非糖尿病人群(P<0.01)。新诊断糖尿病人群中有44.3%合并高血压,56.5%合并血脂异常,29.2%合并高尿酸血症,90.9%合并代谢综合征,明显高于既往确诊糖尿病人群(P<0.01)。结论海南省成人糖尿病防控形势严峻,尤其在农村,糖尿病患病率明显上升,新诊断糖尿病占比高,合并更高比例的慢性代谢性疾病。亟需普及糖尿病的科普知识,重视健康宣教,提倡健康的生活方式。同时,还要加强糖尿病及其他慢性代谢性疾病的筛查和管控。Objective To investigate the prevalence of diabetes mellitus and other chronic metabolic diseases among urban and rural residents in Hainan Province.Methods The urban and rural residents aged 18 years old and above in Hainan Province were investigated by multi-stage stratified sampling from 2018 to 2020.The socio-demographic information,life style and disease history of the subjects were recorded by questionnaire.Height,weight,waistline,blood pressure,fasting blood glucose,OGTT-2h blood glucose,glycosylated hemoglobin,uric acid,blood lipid and other biochemical indexes were measured.Results Among the 2136 subjects,the prevalence of total diabetes,newly diagnosed diabetes,previously diagnosed diabetes,and prediabetes diagnosed were 16.0%,11.8%,4.2%,and 25.0%,respectively.The newly diagnosed prevalence rate of diabetes in rural areas was 13.4%,which was higher than that in urban areas(10.1%)(P<0.05).The rates of awareness,treatment and control of diabetes were 25.8%,15.2%and 42.3%,respectively.Male,less than high school education,overweight and obese,and participant with a family history of diabetes had higher prevalence of total diabetes,newly diagnosed diabetes and prediabetes.The prevalence of total diabetes and prediabetes was increased with age.Among all diabetic patients,40.2%were complicated with hypertension,51.6%with dyslipidemia,40.5%with overweight,13.2%with obesity,26.1%with hyperuricemia and 87.4%with metabolic syndrome,which were higher than those without diabetes(P<0.01).Among the newly diagnosed diabetic patients,44.3%were complicated with hypertension,56.5%with dyslipidemia,29.2%with hyperuricemia and 90.9%with metabolic syndrome,which were significantly higher than those with previously diagnosed diabetes(P<0.01).Conclusion At present,the situation of prevention and control of adult diabetes in Hainan Province is very grim,especially in rural areas,the prevalence of diabetes has increased significantly,with a high proportion of newly diagnosed diabetes which complicated with a higher proportion of

关 键 词：糖尿病 患病率 新诊断糖尿病 慢性代谢性疾病 

分 类 号：R587.1[医药卫生—内分泌]