北京社区居民空腹血糖受损和糖尿病患病现况调查

目的了解北京社区居民空腹血糖受损和糖尿病患病率。方法 2007年5月~8月,采用分层随机抽样,对10 054名北京社区20岁以上常住居民进行问卷调查、体格检查和实验室检测,按照WHO 1999年空腹血糖受损和糖尿病的诊断标准诊断空腹血糖受损和糖尿病。采用SAS9.1.3统计软件进行分析,计数资料用率或构成比表示,组间比较采用χ2检验,两两比较时用Bonferroni法进行校正,P0.05为差异有统计学意义。结果 2007年,北京社区居民空腹血糖受损患病率为3.24%,其中,市区、城乡结合部和郊区分别为3.40%、3.13%和3.25%(P0.05),男性、女性分别为3.53%、3.08%(P0.05);糖尿病患病率为10.99%,其中,市区、城乡结合部和郊区从高到低依次为16.03%、12.94%和7.71%(P0.001),男性、女性分别为11.04%、10.95%(P0.05)。结论北京社区居民空腹血糖受损和糖尿病患病率较高,尤其是市区居民糖尿病患病率较高,需要对患者和高危人群进行治疗和干预。

A cross-sectional study： the prevalence of impaired fasting glucose and diabetes mellitus among residents,Beijing

Objective To determine the prevalence of impaired fasting glucose（IFG） and diabetes mellitus（DM） in the residents of Beijing.Methods A stratified random sampling method was used to select the residents of Beijing aged over 19 years for the study in 2007.Each of the participants had questionnaire survey,physical examination and fasting glucose tested per research protocol.DM and IFG diagnosis were determined by WHO1999 criteria as well as DM history.Results 10 054 residents were included in the study.The prevalence of IFG was 3.24% on average and had no difference between men（3.53%） and women（3.08%）.There were no differences in IFG prevalence rates among the residents of urban（3.40%）,suburb（3.13%） and rural（3.25%） districts of Beijing.The prevalence of DM was 10.99% on average and had no difference between men（11.04%） and women（10.95%）.There were significant differences in the rates of DM among residents of urban（16.03%） suburb（2.94%） and rural（7.71%） districts of Beijing（P0.001）.Conclusion The prevalence rate of IFG and DM were high among Beijing residents,especially DM in urban residents.Prevention and treatment management are strongly recommended for adult residents.