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目的调查温州市社区人群的糖尿病患病率及危险因素,为制定防治措施提供依据。方法采用随机整群抽样的方法,抽取温州市10个社区35周岁以上居民13507名,进行糖尿病问卷调查、居民体格检查和实验室检测。结果温州市社区居民血糖均值为(5.30±1.76)mmol/L,糖尿病患病率为11.52%;其中男性患病率为11.13%,女性为11.79%,差异无统计学意义。糖尿病知晓率为38.92%,男女分别为36.00%和40.91%。控制率为16.00%,男女分别为14.40%和17.08%;服药率为30.50%,男女分别为27.04%和32.86%。药物治疗者血糖控制率为40.76%,男女分别为40.83%和40.73%。高年龄组、超重肥胖、经常食用肉蛋类和高血压为糖尿病的主要危险因素;而增加劳动强度、多吃蔬菜对居民患糖尿病有保护作用。结论糖尿病是温州市社区居民常见的慢性病。针对糖尿病的主要危险因素,应当采取综合措施控制糖尿病的发生发展。
Objective To investigate the prevalence and risk factors of diabetes in community population in Wenzhou and provide evidence for the establishment of prevention and treatment measures. Methods A random cluster sampling method was used to extract 13,507 residents over 35 years of age in 10 communities in Wenzhou City for questionnaires of diabetes, physical examination of residents and laboratory tests. Results The average blood glucose of community residents in Wenzhou was (5.30 ± 1.76) mmol / L, and the prevalence of diabetes was 11.52%. Among them, the prevalence was 11.13% in males and 11.79% in females, with no significant difference. Diabetes awareness rate was 38.92%, male and female were 36.00% and 40.91%. The control rate was 16.00%, 14.40% and 17.08% for men and women, 30.50% for medication, and 27.04% for men and 32.86% for men and women, respectively. Drug treatment of patients with glycemic control rate was 40.76%, male and female were 40.83% and 40.73%. High age group, overweight and obesity, frequent consumption of meat and eggs and hypertension as the main risk factors for diabetes; while increasing labor intensity, eat more vegetables on the residents suffering from diabetes mellitus. Conclusion Diabetes mellitus is a common chronic disease in Wenzhou community residents. For the main risk factors of diabetes, should take comprehensive measures to control the occurrence and development of diabetes.