呼和浩特市18岁以上居民糖尿病及糖尿病前期流行病学调查

Epidemiological Survey of Diabetes and Pre-diabetes among Residents over 18 Years Old in Hohhot

目的探讨呼和浩特市9个旗县区18岁以上居民糖尿病患病率及影响因素。方法 2016年9月-2017年4月该科采用分层整群随机抽样,对呼和浩特市9个旗县区3 754名18岁以上常住居民进行体格检查,问卷调查及血液生化等指标检测。结果呼和浩特市常住人口糖尿病患病率为8.1%(304/3 754),其中从年龄性别分布分析,男性患病率为8.4%(162/1 923)、女性患病率为7.8%(142/1 831),而且随着年龄增长,糖尿病患病率整体升高;从年龄地区分布分析,城区糖尿病患病率明显高于农区,城区患病率为9.4%(186/1 972),农区患病率为6.6%(118/1 782)。糖尿病前期患病率为9.1%(342/3 754),其中空腹血糖受损发生率为1.9%(73/3 754),糖耐量异常7.2%(269/3 754)。该次调查中,知晓自己是糖尿病的例数为263人,不知晓自己是糖尿病的例数为41人,占总患病人数13.4%。结论不同年龄段人群间及地区间,糖尿病患病率均存在显著差异,随着年龄增长,糖尿病患病率逐渐升高,且城区糖尿病以及糖尿病前期患病率明显高于农区。

Objective To investigate the prevalence and influencing factors of diabetes mellitus in residents over 18 years old in nine counties and districts of Hohhot. Methods From September 2016 to April 2017, the department adopted stratified cluster random sam-pling to conduct physical examination, questionnaire survey and blood biochemical and other indicators tests on 3 754 permanent res-idents over 18 years old in nine counties and districts of Hohhot. Results The prevalence rate of diabetes among Hohhot residents was 8.1%(304/3 754), among which the prevalence was 8.4%(162/1 923) in males and 7.8%(142/1 831) in females according to the analysis of age and sex distribution. According to the analysis of age and regional distribution, the prevalence rate of diabetes in urban areas was significantly higher than that in rural areas, with?the prevalence rate of 9.4% in urban areas(186/1 972) and 6.6% in rural areas(118/1 782).The prevalence of pre-diabetes was 9.1%(342/3 754), among which the incidence of impaired fasting glucose was1.9%(73/3 754) and abnormal glucose tolerance was 7.2%(269/3 754). In this survey, 263 people knew that they were diabetic, and41 people did not know that they were diabetic, accounting for 13.4% of the total patients. Conclusion There are significant differences in the prevalence of diabetes among different age groups and regions. With the growth of age, the prevalence of diabetes gradually increases, and the prevalence of diabetes and pre-diabetes in urban areas is significantly higher than that in rural areas.