论文部分内容阅读
目的了解嘉兴市秀洲区居民糖尿病的发病特征,为制定糖尿病的防控措施提供依据。方法通过浙江省慢性病监测管理信息系统导出2009-2014年嘉兴市秀洲区糖尿病患者个案资料,经核查整理后进行描述性分析。结果本研究共纳入糖尿病患者8 147例,以2型糖尿病为主,7 498例(92.03%)。年平均报告标化发病率为406.02/10万,非农人群标化发病率(511.58/10万)高于农民(386.31/10万),女性标化发病率(431.25/10万)高于男性(380.14/10万)。60~岁组糖尿病报告发病率最高,为831.38/10万。20~岁组糖尿病年均增长率最快,为41.16%。588例(7.22%)糖尿病患者在确诊时伴有并发症,男性314例(8.35%),高于女性274例(6.25%),差异有统计学意义(χ~2=13.36,P<0.01)。3 360例(41.24%)糖尿病患者在确诊时伴有1项或多项危险因素,农民2 781例(42.62%),高于非农人群579例(35.70%),差异有统计学意义(χ~2=25.70,P<0.01)。男性1 602例(42.60%),高于女性1 758例(40.08%),差异有统计学意义(χ~2=5.28,P=0.02)。结论嘉兴市秀洲区糖尿病报告发病率逐年增高,女性、非农业劳动者、青少年人群糖尿病发病增长迅速,且普遍携带较多危险因素,是糖尿病防控重点关注人群。
Objective To understand the incidence of diabetes mellitus in Xiuzhou District of Jiaxing City and provide evidence for the prevention and control of diabetes mellitus. Methods The case information of diabetes patients in Xiuzhou District of Jiaxing City from 2009 to 2014 was derived from Zhejiang Province chronic disease monitoring and management information system. After verification, the descriptive analysis was conducted. Results A total of 8 147 diabetic patients were included in this study, with type 2 diabetes predominantly 7 498 (92.03%). The annualized standardized reporting rate was 406.02 / lakh. The standardized incidence of non-agricultural population (511.58 / lakh) was higher than that of peasants (386.31 / lakh), and the standardized rate of female standardization (431.25 / lakh) was higher than that of male (380.14 / 100,000). The highest incidence of diabetes reported in 60 ~ group was 831.38 / 100000. The average annual growth rate of diabetes in 20 ~ group was 41.16%. There were 314 males (8.35%) and 274 (6.25%) males in 588 cases (7.22%) with diabetes mellitus, the difference was statistically significant (χ ~ 2 = 13.36, P <0.01) . 3 360 (41.24%) diabetic patients were diagnosed with one or more risk factors, 2781 (42.62%) were farmers, 579 (35.70%) were non-farm residents, the difference was statistically significant (χ ~ 2 = 25.70, P <0.01). The number of males was 1 602 (42.60%), which was higher than that of females (75.08%) (40.08%). The difference was statistically significant (χ ~ 2 = 5.28, P = 0.02). Conclusion The incidence of diabetes reported in Xiuzhou District of Jiaxing City increased year by year. The prevalence of diabetes in women, non-agricultural workers and adolescents increased rapidly and generally carried more risk factors, which were the focus of diabetes prevention and control.