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本文总结一组中老年群体 10年糖尿病 (DM )发病及追踪情况。方法 :每年度平均受检 2 430人。年龄 40～ 98岁 (平均 6 3岁 )。男女之比为 17∶1。按照WHO诊断标准 ,对确诊为Ⅱ型糖尿病患者 ,进行了长期门诊治疗并追踪观察。结果 :10年间本组糖尿病患病率由 5 .9%升至 16 .8%。糖尿病患病率以 6 1～ 70岁组最高 (2 0 .0 % )。糖尿病新患率以 41～ 5 0岁年龄段最高 (2 9.2 % )。追踪了糖尿病并发心血管病变、肾病变和眼病变。结论 :DM的患病率随年龄增加而升高 ,41～ 5 0岁年龄段是糖尿病预防的重点人群 ,5 1岁以上DM人群则应重点预防并发症。
This article summarizes the incidence and follow-up of 10-year diabetes mellitus (DM) in a group of middle-aged and elderly people. Methods: An average of 2 430 people were examined each year. Age 40 to 98 years (mean 6 3 years old). The ratio of male to female is 17: 1. According to the WHO diagnostic criteria, patients diagnosed with type 2 diabetes were treated for long-term outpatient visits and followed up. Results: The prevalence of diabetes in this group increased from 5.9% to 16.8% in 10 years. The prevalence of diabetes in the 6 1 to 70 age group was the highest (20.0%). The prevalence of diabetes was highest in 41 to 50 years of age (2 9.2%). Traced diabetes with cardiovascular disease, kidney disease and eye disease. Conclusion: The prevalence of DM increases with increasing age, 41 to 50 years of age is the focus of prevention and treatment of diabetes, 5-year-old DM population should focus on prevention of complications.