我国东部经济欠发达地区60岁以上社区人群糖尿病及高血压的患病现状调查

Prevalence of diabetes mellitus and hypertension in economic less-developed region of eastern China

目的调查我国东部经济欠发达地区糖尿病及高血压的患病现状。方法采用整群随机抽样的方法对经济欠发达地区(如淮安市)年龄≥60岁的1 310名常住居民进行糖尿病及高血压的流行病学调查。由培训过的专业医疗人员对调查对象进行了血糖、血压的测量和资料的收集。结果淮安市60岁以上社区人群中,高血压患病率为66.9%,女性(66.8%)高于男性(67.1%),年龄≥70岁人群患病率高于60~69岁人群患病率(分别为72.1%和63.8%)(P<0.05)。糖尿病患病率21.9%,女性(24.3%)高于男性(19.7%)(P<0.05),年龄差异无统计学意义(P>0.05)。已确诊糖尿病患者的治疗率和控制率分别为52.03%和2.47%。已确诊高血压患者的治疗率和控制率分别为81.43%和34.82%。糖尿病患者中BMI<24者治疗率最高,而高血压患者中BMI<24者干预率最高(P均<0.05)。结论我国东部经济欠发达地区的糖尿病、高血压的患病率均处在较高水平,疾病治疗情况有所改善,但控制情况仍不理想,应加强糖尿病、高血压等慢性病的预防和综合控制。

Objective To investigate the prevalence of diabetes and hypertension in economic less-developed region of eastern China.Methods A survey on the prevalence of diabetes and hypertension was conducted in economic less-developed region of eastern China(for example Huaian city)in 2015.Through cluster multistage and random sampling,1 310 residents aged over 60 years were selected as participants.Results The overall prevalence of hypertension was 66.9%among the participants:66.8%for females and 67.1%for males.The overall prevalence of hypertension in participants aged 70 or above was higher than that in those aged 60 69(72.1%vs 63.8%,P<0.05).The overall prevalence of diabetes was 21.9%∶24.3%for women and 19.7%for men(P<0.05),there was no significant difference between different age groups(P>0.05).The intervention and control rate of patients with diabetes were 52.03%and 2.47%,respectively.The intervention and control rate of patients with hypertension were 81.43%and 34.82%,respectively.Diabetic patients with BMI<24 had the highest control rate(61%)(P<0.05),while hypertensive patients with BMI<24 had the largest intervention rate(45.7%)(P<0.05).Conclusion The present study showed high prevalence of diabetes and hypertension among elderly residents in economic less-developed region of eastern China.Comprehensive measures are suggested to be enhanced prevention and control of hypertension and diabetes.