河南某农村2型糖尿病人群心血管危险因素的聚集情况

Clustering of cardiovascular risk factors in the patients with type 2 diabetes mellitus of rural communities in Henan province

目的:了解河南农村2型糖尿病人群心血管危险因素的聚集情况。方法:采用随机整群抽样的方法于2007年7月和2008年7月抽取河南省某农村地区有代表性的两个乡镇35～74岁的16 953人进行横断面调查。结果:确诊2型糖尿病患者1 490人,患病率为8.79%。2型糖尿病患者合并心血管危险因素聚集度分为0～4等级,各组构成比分别为12.35%、32.89%、35.84%、17.04%、1.88%,患者合并1～3项心血管危险因素的聚集度构成比均比非糖尿病组高,差异有统计学意义(P﹤0.01)。2型糖尿病患者心血管危险因素的聚集程度有性别差异(P﹤0.01);且心血管危险因素的聚集程度随着年龄的增长而增高。结论:农村地区2型糖尿病患者心血管危险因素聚集现象显著,亟需开展早期的干预,以减少心血管病的发生。

Objective： To investigate the clustering and characters of cardiovascular risk factors in the patients with T2DM of rural communities for prevention and control of cardiovascular. Methods： 16 953 participants aged from 35 to 74 years old participated in a cross sectional study in a Henan rural area were performed questionnaire interview,physical examination and biochemical test in July,2007 and July,2008. Results： 1 490 participants were diagnosed T2DM,prevalence of T2DM was 8.79%.The percent of the clustering level of cardiovascular risk factors from 0 to 4 in T2DM patients was 12.35%,32.89%,35.84%,17.04%,1.88%,respectively.The percent of the clustering level from 1 to 3 of cardiovascular risk factors was higher than that of participants without T2DM（P 0.01）.The clustering level of cardiovascular risk factors clustering increased significantly with age among T2DM patients aged from 35-65（P0.01）. Conclusion： The clustering level of cardiovascular risk factors has reached an epidemic level.