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目的了解甘肃省平凉市崆峒区居民的糖尿病患病情况,为本地实施好国家基本公共卫生服务项目—糖尿病患者健康管理服务提供管理指标依据。方法选本地区东、西、南、北、中5个方位,随机抽取8个点年龄≥18岁以上居民3 252人,调查基本情况、体格检查并检测血糖,进行流行病学分析及相关因素探讨。结果 18岁以上居民糖尿病患病率4.95%,其中18~34岁居民糖尿病患病率0.67%,35~49岁居民糖尿病患病率3.04%,50~64岁居民糖尿病患病率6.57%,65岁以上居民糖尿病患病率8.80%,糖尿病患病率随年龄增长而升高,不同年龄组居民糖尿病患病率差异有统计学意义(χ2=54.05,P<0.05);家庭妇女患病率最高为6.89%,医务工作者患病率较低为1.82%,不同职业人群糖尿病患病率差异有统计学意义(χ2=5.906,P<0.05);糖尿病患病率与喝酒(χ2=4.08)、体重指数(χ2=16.89)、肥胖(χ2=24.17)、糖尿病家族史(χ2=27.93)差异有统计学意义(均P<0.05),与吸烟差异无统计学意义(χ2=2.92,P>0.05)。结论平凉市崆峒区成年居民糖尿病患病率增长较高,35岁以上居民糖尿病患病率随年龄增长增速较快,虽然主要集中在50岁以上年龄段,但已有向小年龄延伸趋势;加强本地区糖尿病患者筛查和发现,规范开展健康档案建档、随访、干预工作,可预防控制糖尿病的快速增长和蔓延。
Objective To understand the prevalence of diabetes among residents in Langfang District of Pingliang City, Gansu Province, and to provide the management index basis for implementing the national basic public health service project - the health management service of diabetics. Methods We chose 5 orientations of East, West, South, North and Central China. We randomly selected 822 residents aged 3 years and older, including 3252 residents. The basic conditions, physical examination, blood glucose test, epidemiological analysis and related factors Discussion. Results The prevalence of diabetes among residents above 18 years old was 4.95%, among which, the prevalence of diabetes among residents aged 18-34 was 0.67%, the prevalence of diabetes among residents aged 35-49 was 3.04%, and the prevalence of diabetes among residents aged 50-64 was 6.57% The prevalence of diabetes among residents over the age of 8.80%, the prevalence of diabetes increased with age, the prevalence of diabetes in different age groups was statistically significant (χ2 = 54.05, P <0.05); the highest prevalence in domestic women (Χ2 = 5.906, P <0.05). The prevalence of diabetes mellitus and drinking (χ2 = 4.08) were significantly lower than those of other occupational groups The body mass index (χ2 = 16.89), obesity (χ2 = 24.17) and family history of diabetes (χ2 = 27.93) showed statistical significance (all P <0.05) ). Conclusion The prevalence of diabetes increased significantly in adults in Yahuang District of Pingliang City. The prevalence of diabetes mellitus in residents over 35 years of age grew rapidly with age, although it mainly concentrated in the age group over 50 years old. However, ; To strengthen the screening and detection of diabetic patients in the region, to regulate the establishment of health records archives, follow-up, intervention, prevention and control of diabetes can be rapid growth and spread.