北京市部分地区城乡老年人糖尿病现况调查

A comperative study on the prevalence of elderly diabetes mellitus in urban and rural areas in Beijing

目的通过对老年人糖尿病患病率的调查，探讨老年人糖尿病的易患因素和特点。方法采取随机整群抽取调查法，调查农村老年人５１４例，城市４４６例，共９６０例。依据ＷＨＯ诊断标准及检测方法（氧化酶法）进行诊断和检测。结果老年人糖尿病总患病率为５９．４‰，城市７８．５‰，农村４２．８‰，城乡患病率差异有显著性（χ２值＝４．８１７，Ｐ值＜０．０５）。结论老年人糖尿病患病率城市明显高于农村，首要易患因素是肥胖和高胆固醇血症。

Objective Diabetes mellitus is common in elderly.The aims of the present study are to investigate the prevalence,the characteristics and risk factors of diabetes in the elderly. Methods Based on the principle of randomization, 960 people were recruited in this study. Among them 514 people were from one rural area and 446 from one urban district in Beijing.The diagnosis was based on the criteria of WHO.Results The total prevalence of diabetes in the elderly was 59.4‰.There was significant difference of the prevalence between in urban (78.5‰,)and in rural (42.8‰) areas (P< 0.05).Conclusions The prevalence of diabetes in the elderly was significantly higher in urban than in rural areas.The predominant risk factors for diabetes in the elderly were suggested to be obesity and hypercholesteremia.The characteristics were that the symptoms were atypical and that other diseases often coexisted.