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目的探讨海口市美兰区2型糖尿病(T2DM)的流行病学现状并分析其可能危险因素。方法对美兰区居住≥5年的居民,在社区卫生服务中心慢性病管理系统中采用分层随机抽样,抽取3 000人,查阅健康档案、体检资料、调查问卷资料。采用Excel、Epi Data 3.0录入数据,SPSS17.0软件进行统计分析。结果 T2DM患病率为8.2%(男7.0%,女9.8%),不同人口学特征的人群间、不同体重人群间、不同生化指标人群间其患病率差异均有统计学意义(P<0.01),年龄、BMI、糖尿病家族史、体力活动减少、高血压、高甘油三酯(TG)、高总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)低、低密度脂蛋白胆固醇(LDL-C)高、向心性肥胖等是T2DM可能危险因素。结论海口市美兰区居民2011年T2DM现况不容乐观,需要加强三级预防、规范档案管理、定期筛检普通人群和高危人群、健康教育、提高知信行水平、提高病人自我管理能力。
Objective To investigate the epidemiological status of type 2 diabetes (T2DM) in Meilan District of Haikou City and analyze its possible risk factors. Methods Residents aged ≥ 5 years in Meilan District were stratified random sampling in the chronic disease management system of community health service center, and 3 000 people were taken to check health records, physical examination data and questionnaire data. Using Excel, Epi Data 3.0 input data, SPSS17.0 software for statistical analysis. Results The prevalence of T2DM was 8.2% (7.0% for male and 9.8% for female). The prevalence rates of T2DM were statistically significant among different population, different weight population and different biochemical indexes (P <0.01) ), Age, BMI, family history of diabetes, decreased physical activity, high blood pressure, high triglyceride (TG), high total cholesterol (TC), low HDL-C and low density lipoprotein cholesterol LDL-C) high, central obesity is a possible risk factor for T2DM. Conclusions The status of T2DM in 2011 in Meilan District of Haikou City is not optimistic. It is necessary to strengthen tertiary prevention and standardize file management, regularly screen the general population and high-risk groups, improve health education, improve the level of information, and improve patient self-management ability.