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目的调查银川市城乡20岁以上常住居民DM患病率及其影响因素。方法用分层整群随机抽样法对银川市城乡各一社区常住居民进行体格检查、问卷调查及血液生化指标检测。结果 DM患病率为6.6%,空腹血糖受损(IFG)患病率为5.6%,标化患病率分别为3.33%、3.14%。DM患病率男性为9.4%,女性为5.1%,标化患病率分别为4.69%,2.53%,男性高于女性(P<0.05);IFG患病率男性为3.1%,女性为7.2%,标化患病率分别为1.52%、3.97%,女性高于男性(P<0.05)。随着年龄增加,DM和IFG患病率呈升高趋势。城乡DM患病率分别为10.7%、3.3%,标化患病率分别为4.58%、1.91%,差异有统计学意义(P<0.05);城乡IFG患病率无统计学差异。多因素logistic回归显示,年龄、吃水果、劳动强度、BMI、SBP、DM家族史与DM有关。结论控制体重、降低血脂、管理血压、合理膳食、加强体育锻炼及规范治疗是银川市城乡居民预防控制DM的重要措施。
Objective To investigate the prevalence of DM and its influencing factors among permanent residents over the age of 20 in urban and rural areas of Yinchuan City. Methods The stratified cluster random sampling method was used to conduct physical examination, questionnaire survey and blood biochemical detection of residents living in each community in urban and rural areas of Yinchuan. Results The prevalence of DM was 6.6%, the prevalence of impaired fasting glucose (IFG) was 5.6% and the standardized prevalence was 3.33% and 3.14% respectively. The prevalence rate of DM was 9.4% for males and 5.1% for females, and the standardized prevalence rates were 4.69% and 2.53% respectively, higher in males than in females (P <0.05); prevalence of IFG was 3.1% in males and 7.2% in females , The standardized prevalence rates were 1.52% and 3.97%, respectively, higher in women than in men (P <0.05). With age, the prevalence of DM and IFG is on the rise. The prevalence rates of DM in urban and rural areas were 10.7% and 3.3%, respectively, and the standardized prevalence rates were 4.58% and 1.91%, respectively, with statistical significance (P <0.05). The prevalence of IFG in urban and rural areas was not statistically different. Multivariate logistic regression showed that age, eating fruit, labor intensity, BMI, SBP, DM family history were related to DM. Conclusion Weight control, blood lipid lowering, blood pressure management, rational diet, physical activity and standardized treatment are important measures for prevention and control of urban and rural residents in Yinchuan.