汕头特区糖尿病患病情况的调查分析

Investigation and analysis to patients with diabetes mellitus in Shantou special economical zone

目的:调查了解汕头特区糖尿病的患病现状及其流行特点、危险因素,为汕头市制定糖尿病防治和控制规划提供依据。方法:采用分层整群随机抽样方法,抽取汕头特区“广厦街道”3个居委会、市郊区县各1个居委会510户自然人群共2041人,通过问卷调查收集资料和体质测量,根据美国糖尿病协会1997年对未诊断的糖尿病高危人群的筛选标准犤3犦中任何一项符合者检测空腹血糖(fastingplasmaglucose,FPG)和餐后随机血糖(postprandialplasmaglucose,PPG),按美国糖尿病协会1997年提出修改的糖尿病诊断标准,用SPSS10.0软件包建立数据库并进行统计学分析。结果:汕头特区居民糖尿病、空腹血糖受损(impairedfastingglucose,IFG)和糖耐量异常(impairedglucosetolerance,IGT)患病率分别为3.67%,2.16%和3.82%,均随年龄增长而上升,45岁以上女性明显高于男性,新诊断糖尿病占现患患者的69.23%,高血压患病率及超重+肥胖患病率与糖尿病患病率有明显的相关性。结论:汕头特区糖尿病及糖尿病前期患病率较高,患者较多,形势严峻,防治任务相当严重而迫切,不容轻视。

AIM:To investigate and describe the present state, epidemical features and risk factors of diabetes mellitus in Shantou special economy zone,and to provide a basis for the project making of prevention and cure and control to diabetes mellitus. METHODS:A total of 2 041 population in 510 families from 5 blocks of Guangsha District in Shantou were selected by the method of stratified random cluster sampling.The data were collected and established by questionnaires and physical examination.According to the“ Screening Criteria for Undiagnosed High Risk Group with Diabetes Mellitus of American Diabetes Association(ADA)” ,any subject met with one or more crisis factor was checked the fasting plasma glucose(FPG) and postprandial plasma glucose(PPG), according to the Diagnostic Criteria for Diabetes Mellitus modified by ADA in 1997.Statistical analysis was made with SPSS 10.0 software system. RESULTS:In Shantou, the prevalence of diabetes mellitus, impaired fasting glucose(IFG) and impaired glucose tolerance(IGT) were 3.67% , 2.16% and 3.82% respectively, up with increase of age.The prevalence in female above 45 years old was higher than in male.The patients recently diagnosed during this survey accounted for 69.23% of all diabetic patients. The prevalence of diabetes mellitus was obviously related to the prevalence of hypertension and that of overweight and obesity. CONCLUSION:The prevalence of diabetes mellitus and prediabetes is higher.There are heavy responsibilities for diabetes mellitus prevention and control in Shantou City.