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目的了解地震灾区糖尿病患病率和危险因素,为地震灾区灾后糖尿病的防治工作提供依据。方法 2009年3月至2009年5月间对地震灾区北川县当地居民进行指尖快速血糖筛查,如≥5.0mmol/L,立即进行静脉空腹血糖(FPG)测定和葡萄糖耐量试验(OGTT),同时进行体检和流行病学调查。结果糖尿病患病率为5.6%。不同年龄与不同文化程度组间患病率差别有统计学意义,经多因素lo-gistic回归分析,高龄、高血压、糖尿病家族史和腰臀比为糖尿病发病的独立危险因素。结论地震灾区灾后糖尿病的患病率虽无明显增高,但当地居民缺乏对糖尿病预防的重视,因此应加强管理,进行早期干预,尤其是对高危人群的早期干预,培养正确的态度,建立健康行为,以更好地控制糖尿病的发生。
Objective To understand the prevalence and risk factors of diabetes mellitus in earthquake-stricken areas and provide evidence for the prevention and treatment of post-disaster diabetes mellitus in earthquake-stricken areas. Methods From March 2009 to May 2009, local residents in Beichuan County of the earthquake-stricken area were screened by rapid blood glucose screening. If they were ≥5.0mmol / L, venous fasting plasma glucose (FPG) and glucose tolerance test (OGTT) At the same time for medical examination and epidemiological investigation. Results The prevalence of diabetes was 5.6%. The prevalence rates of different ages and different education groups were statistically significant. According to the multi-factor lo-gistic regression analysis, the elderly, hypertension, family history of diabetes and waist-hip ratio were independent risk factors for the development of diabetes mellitus. Conclusion Although the prevalence of post-disaster diabetes mellitus in earthquake-affected areas is not significantly higher, local residents lack the emphasis on prevention of diabetes mellitus. Therefore, it is necessary to strengthen management and early intervention, especially early intervention for high-risk groups, develop correct attitudes and establish healthy behaviors To better control the onset of diabetes.