河南省自然人群糖尿病和糖耐量低减患病现况调查

Investigation on the epidemiological characteristics of diabetes mellitus and impaired glucose tolerance in natural poprlation of Henan Province

目的 :了解河南省糖尿病患病现况。方法 :采用分层随机抽样方法 ,根据WHO规定的诊断标准 ,对全省5 975名 2 0～ 74岁居住 5a及 5a以上居民开展了糖尿病流行病学调查。结果 :在 5 975例调查对象中 ,糖尿病患病率为 4.80 %,糖耐量低减 (IGT)患病率为 4.92 %。 40岁及以上人群的糖尿病及IGT患病率分别为 7.13%、7.2 1%,40岁以下人群糖尿病及IGT患病率分别为 1.2 7%、1.43%,城镇人群的糖尿病及IGT患病率分别为 6 .0 2 %、5 .6 2 %,乡村人群的糖尿病及IGT的患病率分别为 2 .33%、3.5 0 %。结论 :河南省糖尿病患病率高于全国水平 ,经济发达地区更高 ,IGT患病率低于全国水平。糖尿病患病率随年龄增高而增加 ,40岁以上人群为糖尿病防治的重点人群。

Aim:To find out epidemiological characteristics of diabetes mellitus (DM) and impaired glucose tolerance (IGT) in Henna Province. Methods: According to the diagnostic criteria of DM and IGT recommended by WHO, An investigation on epidemiological characteristics of DM and IGT was carried out among 5975 persons aged 20～74 years who lived in the communities at least 5 years adopting stratified random sampling method. Result: the general prevalence rates of DM and IGT were 4.80% and 4.92% respectively. Among the 40～74 years old, the prevalence rates of DM and IGT were 7.13% and 7.12% respectively. Under 40 years old, the prevalence rates of DM and IGT were 1.27% and 1.43% respectively. Among urban presons,the prevalence rates of DM and IGT were 6.02% and 5.62% respectively, as for rural persons, the rates were 2.33% and 3.05% respectively.Conclusion: the prevalence rate of DM in Henan Province were higher than the national average, especially in rich areas. On the contrary, the prevalence rate of IGT were lower than the national average. The prevalence rate of DM incraesed apparently with age, and the emphasis poprlation of DM control and prevention is that having age over 40 years old.