摘要
目的 了解青岛地区成人糖尿病 (DM )的患病率。 方法 采用分层随机整群抽样方法 ,在 2 0 0 1年 5月～ 2 0 0 2年 6月期间 ,横断面调查青岛地区 2县 5区 2 0～ 74岁居民 14 6 0 6名。除市南区的 2 170名居民直接采用口服 75 g葡萄糖耐量试验 (OGTT)进行筛查外 ,其余各点的 12 4 36名被调查者需先行指血筛查 ,当毛细血管血糖≥ 6 1mmol/L时进行OGTT确定诊断。 结果 青岛地区 2 0～ 74岁人群DM标化的患病率为 5 5 % ,其中 6 4 5 %为新诊断的DM。其中市南区居民DM、糖耐量受损 (IGT)、空腹血糖受损 (IFG)和糖调节受损 (IGR)的标化患病率分别为 9 1%、6 6 %、4 5 %和 11 1%。乡村居民DM的患病率低于城镇居民 (5 0 %比 6 1% ,P <0 0 0 1)。乡村中 ,女性患病率高于男性 (5 7%比 4 0 % ,P <0 0 1)。随着年龄的增加 ,DM的患病率逐渐增加。 结论 青岛地区DM患病率与 1994年及 1996年全国流行病学调查结果相比 ,青岛地区DM的患病率明显升高。随着地区的城市化和人口的老龄化程度进一步增加 。
Objective To determine the prevalence of diabet es in Chinese population living in Qingdao city. Methods A cros s-sectional population survey for diabetes was performed in Qingdao city in 200 1-2002. 12436 subjects participated in the program using two-step method scre ening with capillary blood glucose as the primary screening. 1527 subjects whos e capillary whole blood glucose was ≥6.1 mmol/L were confirmed by oral glucose tolerance test (OGTT) subsequently. Another 2170 subjects were screened by OG TT directly. Results The age-standardized prevalence of diab etes was 5.5% in Qingdao city, of which 64.5% was undiagnosed diabetes. The prevalence of diabetes was higher in urban population than in rural population ( 6.1% vs 5.0%, P<0.001). The age-standardized prevalence of DM, IGT, IFG and IGR in 2170 subjects was 9.1%, 6.5%, 4.5%, and 11.1% respectively. In rural area, the prevalence of diabetes was higher in women than in men (5.7 % vs 4.0%, P<0.01). The prevalence of diabetes increased with age. Conclusions The current prevalence of diabetes in Qingdao city is higher, compared with the national prevalence of China in 1994 and 1996. Wi th ageing and urbanizing, it is possible that the prevalence will increase much higher in the future.
