2012—2017年兰州市七里河区居民糖尿病患病对比分析

Comparative analysis of diabetes mellitus of residents in Qilihe district of Lanzhou from 2012 to 2017

目的掌握甘肃省兰州市七里河区居民近五年糖尿病患病情况及主要的影响因素,为做好本地区糖尿病的预防和控制提供依据。方法分别于2012年和2017年在兰州市七里河区所属9个街道、6个乡(镇)居民中开展居民健康状况问卷调查和体格检查,收集本地区居民社会人口学信息、生活行为习惯和糖尿病患病情况等,同时使用SPSS 22.0软件分析本地区糖尿病患病情况及影响因素。结果兰州市七里河区居民5年糖尿病患病率呈上升趋势,发病趋于年轻化,城市居民患病率高于农村居民(χ^2=321.811,P<0.05);糖尿病患病危险因素主要有,BMI≥24 kg/m^2,腰围男性≥90 cm、女性≥85 cm,5年糖尿病的危险因素变化不明显。结论本地区近五年居民糖尿病患病率明显上升;加强居民的健康教育和体重控制是预防控制糖尿病的重要措施。

Objective To investigate the prevalence and impact factors of diabetes mellitus in the residents in the past five years in Lanzhou and provide scientific basis for prevention and control of diabetes mellitus.Methods A cross-sectional survey was conducted in 9 communities and 6 towns in Qilihe district in 2012 and 2017,separately.Questionnaire and physical examination were taken to collect the data of social demography,behavioral habit and pathogenetic condition of the participants.SPSS 22.0 software was applied for analyzing the prevalence and influencing factors of diabetes.Results Total prevalence rate of diabetes increased from 2012 to 2017.The patients tended to be younger from 2012 to 2017.The prevalence of diabetes was higher in the residents from the urban than from the rural area(χ^2=321.811,P<0.05).BMI≥24 kg/m^2 and waistline(male≥90 cm,female≥85 cm)were the major risk factors of diabetes mellitus.There was no significant change in risk factors of diabetes in the 5 years.Conclusions The prevalence of diabetes mellitus in the residents increases in the recent five years.The key measure of diabetes control and prevention is to strengthen health education and weight control in the residents.