杭州市下城区2012-2016年糖尿病流行特征分析

Epidemiological characteristics of diabetes mellitus in Xiacheng district of Hangzhou,2012-2016

目的探讨杭州市下城区2012-2016年糖尿病的流行特征,为制定防控政策提供依据。方法对2012-2016年浙江省慢性病监测信息管理系统中杭州市下城区糖尿病监测资料进行描述性分析。结果下城区2012-2016年共报告糖尿病发病5377例,年均粗发病率为286.75/10万,标化发病率266.88/10万,女性高于男性(X^2=81.50,P<0.05)。发病率逐年增加,年均增长率为9.19%。2型糖尿病占发病总数的73.68%,妊娠糖尿病占女性发病总数的45.30%。17.80%的糖尿病病人在确诊时即伴有肾脏、神经、血管和视网膜病变等并发症,男性发病比例显著高于女性(P<0.05),其中神经病变、血管病变与肾脏病变占所有并发症的86.31%。结论杭州市下城区糖尿病总体报告发病率缓慢上升,妊娠糖尿病发病率上升较快,男性糖尿病并发症、妊娠糖尿病、2型糖尿病发病应该成为下城区糖尿病防制的重点。

Objective To study the epidemiological characteristics of diabetes during 2012 and 2016,provide effective prevention and intervention strategies for diabetes in Xiacheng district.Methods Descriptive epidemiological method was used to analyze the data of diabetes during 2012 and 2016 from the non-communicable disease surveillance system in Zhejiang. Results Five thousand three hundred and seventy-seven cases of new on-set diabetes were reported in Xiacheng district during 2012 and 2016,the average annual incidence of diabetes was 286.75/100000,and the standardized incidence was 266.88/100000.The morbidity of women was higher than that of men (χ^2=81.50,P <0.05).The incidence had yearly upward trend,average annual growth rate was about 9.19%.Type 2diabetes mellitus accounted for 73.68%.Gestational diabetes mellitus accounted for 45.30% of the female cases.17.80% diabetes cases were diagnosed with complications,the complication incidence of diabetic neuropathy,vasculopathy,nephropathy and retinopathy in male population were significantly higher than in female population (P <0.05),the population of diabetic neuropathy,vasculopathy,and nephropathy accounted for 86.31%.Conclusions The overall incidence of diabetes in Xiacheng district increased slowly,and the incidence of gestational diabetes rose rapidly.Diabetic complications in men,gestational diabetes and type 2 diabetes mellitus should be paid more attentions.