上海殷行社区65岁及以上老年人糖尿病患病率及其影响因素分析  

Analysis of prevalence of diabetes mellitus and the influencing factors among the elderly aged 65 years and over in Yinhang Community of Shanghai

作　　者：陆晓燕 沈雁红 徐蓉[1] 袁心慧 徐丽娜[3] LU Xiaoyan;SHEN Yanhong;XU Rong;YUAN Xinhui;XU Lina(Medical Department of Yinhang Community Health Service Center of Yangpu District,Shanghai 200438,China;Ward of Yinhang Community Health Service Center of Yangpu District,Shanghai 200438,China;Nursing Department of Yinhang Community Health Service Center of Yangpu District,Shanghai 200438,China)

机构地区：[1]上海市杨浦区殷行社区卫生服务中心医务科,上海200438 [2]上海市杨浦区殷行社区卫生服务中心病房,上海200438 [3]上海市杨浦区殷行社区卫生服务中心护理部,上海200438

出　　处：《上海医药》2022年第2期39-43,共5页Shanghai Medical & Pharmaceutical Journal

基　　金：杨浦区2019-2022年度医学重点学科(YP19ZC02)。

摘　　要：目的:分析2020年上海殷行社区65岁及以上老年人糖尿病患病率及其相关因素,为指导社区开展精准防治提供科学依据。方法:收集2020年上海殷行社区1754名65岁及以上老年人的体检资料,平均年龄(70.83±5.03)岁。其中男性804人,平均年龄(71.19±5.13)岁;女性950人,平均年龄(70.53±4.93)岁。分析性别、体质量指数(BMI)、吸烟、饮酒、高血压、血脂异常等因素与糖尿病患病的相关性。结果:共检出糖尿病患者501名,检出率为28.56%。糖尿病组和非糖尿病组的年龄、文化程度、饮酒、BMI、高血压和血脂异常差异有统计学意义(P<0.05)。logistic回归分析结果显示:年龄76~85岁、饮酒、高血压、BMI偏高、血脂异常是患糖尿病的危险因素。结论:糖尿病患病与较多因素及疾病密切相关,社区应该多渠道开展针对性防治工作,降低糖尿病发病率,减少糖尿病的并发症。Objective:To analyze the prevalence of diabetes mellitus and the related factors among the elderly aged 65 years and over in Yinhang Community of Shanghai in 2020,and to provide scientific basis for guiding the community to carry out precise prevention and treatment.Methods:The physical examination data of 1754 aged 65 years and above in Yinhang Community of Shanghai in 2020 were collected,and the average age was(70.83±5.03)years.There were 804 males with an average age of(71.19±5.13)and 950 females with an average age of(70.53±4.93)years.The relationship between gender,body mass index(BMI),smoking,drinking,high blood pressure,dyslipidemia and other factors with the prevalence of diabetes mellitus were analyzed.Results:A total of 501 patients with diabetes mellitus were detected,and the detection rate was 28.56%.There were significant differences in age,education,drinking,BMI,hypertension and dyslipidemia(P<0.05)between diabetic group and non-diabetic group.Logistic Regression analysis showed that age of 76~85 years old,drinking,hypertension,BMI on the high side and abnormal blood lipid were the risk factors of diabetes mellitus.Conclusion:Diabetes mellitus is closely related to many factors and diseases,the community should carry out targeted prevention and treatment through multiple channels to reduce the incidence and complications of diabetes mellitus.

关 键 词：糖尿病 老年人 影响因素 

分 类 号：R58[医药卫生—内分泌]