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目的 了解青岛地区成人糖尿病 (DM )的患病率。 方法 采用分层随机整群抽样方法 ,在 2 0 0 1年 5月～ 2 0 0 2年 6月期间 ,横断面调查青岛地区 2县 5区 2 0～ 74岁居民 14 6 0 6名。除市南区的 2 170名居民直接采用口服 75 g葡萄糖耐量试验 (OGTT)进行筛查外 ,其余各点的 12 4 36名被调查者需先行指血筛查 ,当毛细血管血糖≥ 6 1mmol/L时进行OGTT确定诊断。 结果 青岛地区 2 0～ 74岁人群DM标化的患病率为 5 5 % ,其中 6 4 5 %为新诊断的DM。其中市南区居民DM、糖耐量受损 (IGT)、空腹血糖受损 (IFG)和糖调节受损 (IGR)的标化患病率分别为 9 1%、6 6 %、4 5 %和 11 1%。乡村居民DM的患病率低于城镇居民 (5 0 %比 6 1% ,P <0 0 0 1)。乡村中 ,女性患病率高于男性 (5 7%比 4 0 % ,P <0 0 1)。随着年龄的增加 ,DM的患病率逐渐增加。 结论 青岛地区DM患病率与 1994年及 1996年全国流行病学调查结果相比 ,青岛地区DM的患病率明显升高。随着地区的城市化和人口的老龄化程度进一步增加 ,DM患病率将有更大幅度的升高
Objective To understand the prevalence of adult diabetes mellitus (DM) in Qingdao. Methods A stratified random cluster sampling method was used to survey 14 600 people aged 20 to 74 in 5 districts of 2 counties in Qingdao from May 2001 to June 2002. Except for 2 170 residents in Shinan District who were directly screened by oral glucose tolerance test (OGTT) of 75 g, 12 4 36 respondents at all other points were required to perform finger screening first. When capillary blood glucose ≥ 6 1 mmol / L OGTT diagnosis. Results The prevalence of DM in 20 ~ 74 years old population in Qingdao was 55%, of which 645% were newly diagnosed DM. Among them, the standardized prevalence rates of DM, impaired glucose tolerance (IGT), impaired fasting glucose (IFG) and impaired glucose regulation (IGR) in Shinan District were 91%, 66%, 45% and 11 1%. The prevalence of DM among rural residents was lower than that of urban residents (50% vs 61%, P <0.01). In rural areas, the prevalence of females was higher than males (57% vs 40%, P <0.01). With age, the prevalence of DM gradually increased. Conclusion The prevalence of DM in Qingdao area was significantly higher than that of the national epidemiological survey in 1994 and 1996 in Qingdao. As urbanization and population aging further increase in the region, the prevalence of DM will increase even more dramatically