305例中老年2型糖尿病患者的社区调查

Clinical Analysis of 305 Cases of T2DM

目的 :对丽水市丽阳门等社区老年糖尿病患者的患病率、并发症、易发因素及预后进行分析。方法 :根据ADA1997标准 ,收集各社区医疗服务中心提供的糖尿病患者 30 5例进行逐个病史采集及访谈、了解病情、测定空腹血糖等。结果 :>40岁患病率高于其他年龄段 ,女性略高于男性 ;职业构成患病率为体力劳动高于脑力劳动 ;年龄与发病率成正比 ;高收入人群的发病率大于低收入 ,坚持体力活动可延缓并发症的发生。结论 :2型糖尿病以 5 0～ 6 0岁居多 ,改变生活方式 ,控制饮食和增加体力活动 ,可控制病情及减少并发症。

Objective: To study the morbidity rate, complication, high-risk factors and prognosis of adult T2DM. Methods: Based on the standard of ADA1997, 305 cases of T2DM in some communities of Lishui city were surveyed by interview and checking morbidity the flood glucose. Results: The morbidity in the populations over 40 years was much higher than others, females slightly higher than in males and physical labor higher than in mental labor. Age was positively related to rate. The morbidity rate in the populations with high income was higher than those with low income. Persisting in physical activity could slower the occurrence of complications. Conclusion: T2DM often occurs among 50 to over 60-year-old people. Change of life style, controlling of diet and increased physical activity can control and decrease the occurrence of complications.