广州城郊社区居民糖尿病及糖调节受损的流行现状 - 南方医科大学学报.pdf

窑2122 窑 南方医科大学学报(JSouthMedUniv) 2010;30(9) 广州城郊社区居民糖尿病及糖调节受损的流行现状调查分析 曹瑛袁薛耀明袁李晨钟袁张蔓丽袁高方袁谢翠华袁曾慧妍袁罗祥蓉袁李际敏袁付霞军渊南方医科大学南方医院内分泌 代谢科袁广东广州510515冤 摘要院目的 了解广州城郊社区18岁以上居民糖尿病及糖调节受损的流行情况并分析其影响因素遥方法 采用分层整群 抽样方法袁抽取广州市城郊6个社区 18岁以上袁居住5年及5年以上的居民共 1532人进行糖尿病患病率及糖调节受 损的流行病学调查遥 结 完成调查1532人袁广州城郊社区居民糖尿病患病率为8.48%袁糖调节异常患病率为6.59%曰 年龄尧体质量指数尧糖尿病家族史尧高血压家族史尧高血脂尧高血压和吸烟均为糖尿病和糖调节异常的独立危险因素遥 结 论 广州城郊社区居民糖尿病患病及糖调节异常流行状况严峻袁防治糖尿病的关键在于对40 岁以上有糖尿病和高血压 家族史人群在肥胖尧高血压及脂代谢紊乱等危险因素的控制遥 关键词院广州城郊曰社区曰糖尿病曰糖调节受损曰流行病学 中图分类号院R181.32;R587.1 文献标识码院A 文章编号院1673-4254渊2010冤09-2122-03 Epidemiological investigation of diabetes and prediabetes in community residents in the suburbsofGuangzhou CAOYing,XUEYao-ming,LIChen-zhong,ZHANGMan-li,GAOFang,XIECui-hua,ZENGHui-yan,LUOXiang-rong,LIJi-min,FU Xia-jun DepartmentofEndocrinology,NanfangHospital,SouthernMedicalUniversity,Guangzhou510515,China Abstract:ObjectiveToidentifytheprevalenceandriskfactorsofdiabetesandprediabetesinthecommunityresidentsabove 18yearsoldinthesuburbsofGuangzhou.MethodsBetweenAprilandMayin2008,theresidentsabove18yearslivingin6 communitiesofGuangzhoufor5ormoreyearsweresampledwithmultistageclusteringsampling. Thesampledresidents weresurveyedbyquestionnaires, andphysicalexaminationandglucosedeterminationwerecarriedout. ResultsAtotalof 1532residentsweresampled. The incidenceofdiabetesmellitusinthesecommunityresidentswas8.46%, and thatof impaired glucose regulationwas 6.59%. Age, bodymassindex, familyhistoryof diabetes mellitus, case historyof hypertension,hyperlipidemia,hypertensionandsmokingwerealltheindependentriskfactorsforimpairedglucoseregulation and diabetes mellitus. Conclusion Diabetes and prediabetes are prevalent in the community residents in Guangzhou. Controllingtheriskfactorssuchasobesity,hypertension,lipidmetabolismdisorderamongtheresidentsabove40yearswitha familyhistoryofdiabetesmellitusandh