银川市社区居民糖尿病流行现况

Epidemic present situation on Community citizens Diabetes in Yinchuan city

目的了解城市社区居民糖尿病流行现况及其影响因素,为社区人群糖尿病的防治提供依据。方法采用多阶段系统抽样方法,抽取银川市5个社区≥20岁常住居民2 569人,全部受试者接受专科医生体格检查和空腹血糖及血脂检测。结果糖尿病患病率为4.31%,IFG患病率为8.78%。男、女性糖尿病患病率分别为4.63%和4.04%,差异无统计学意义(χ2=0.51,P>0.05)。糖尿病患病率和IFG患病率随年龄增加呈升高的趋势(χ2=85.68,P<0.001);Logistic回归结果提示年龄、糖尿病家族史、冠心病史、甘油三脂、低密度脂蛋白为糖尿病可能的危险因素(OR均>1),体育锻炼(OR=0.62)和高密度脂蛋白(OR=0.23)为保护因素。结论应合理膳食,加强体育锻炼,预防糖尿病的发生。

Objective To understand the prevalence of and influence factors of type II diabetes in Yinchuan community adults over 20 years old,and to provide theoretical evidence for diabetes prevetion program.Methods 2 569 community residents were selected using systematic sampling method,physical examination,fasting blood gluc0 se and blood lipids were detected.Results 105（4.31%） respondents met the type II DM criteria,and 214（8.78%） respondents met IFG criteria.There were no significant difference between the male（4.63%） and the female（4.04） of the prevalence of type II DM,（χ^2=0.511,P 〉0.05）.The prevalence of DM increasing significantly in different age group（χ^2=85.68,P〈0.001）.Logistic regression anlysis shown that age,family history of diabetes,coronary heart disease history,triglycerides and low density lipoprotein cholesterol（LDL） were major risks factors for diabetes（OR〉1）,meanwhile exercise（OR=0.62） andhigh-density lipoprotein（HDL）（OR=0.23） were the protective factors.Conclusion Should be rational diet,exercise more,prevent the happening of the diabetes.Diabetes can be prevented through a reasonable diet and increasing physical activity.