【摘要】 目的　了解乌鲁木齐市糖尿病 (DM)及其部分大血管合并症的患病率。　方法　通过对新疆乌鲁木齐市的一个社区汉族居民的调查 ,根据口服糖耐量试验 (OGTT)结果将人群分为糖耐量正常 (NGT)组、空腹血糖受损 (IFG)组、糖耐量受损 (IGT)组和DM组 ,并测定血脂、血压、腰臀比(WHR)、身高、体重 ,同时了解心脑血管事件情况。　结果　 (1)该社区DM的患病率为 8 6 8% ,IGT为 9 0 2 % ;(2 )随着年龄的增加 ,糖代谢异常的患病率增加 ;(3)不同的糖代谢状态下血压、血脂、肥胖的患病率不同 ,心脑血管事件因例数少而未显示统计学差异 ;(4 )在DM人群中除低HDL外 ,其他大血管合并症的患病与性别无关 ,而在非DM人群中有性别差异 ;(5 ) 5 0岁以下组女性高血压、血脂紊乱、心脑血管事件的患病率均低于 5 0岁以上组女性。　结论　该社区人群具有较高的DM和IGT患病率。糖代谢异常的人群伴发血脂紊乱、高血压、肥胖等的几率明显高于糖代谢正常的人群。更多还原

【Abstract】 Objective To investigate the prevalences of diabetes and its macrovascular complications in Urumqi population. Methods The inhabitants of a community in Urumqi were investigated and the subjects were divided into four groups according to different glucose metab olic states: normal glucose tolerance(NGT), impaired fasting glucose (IFG), impa ired glucose tolerance (IGT) and diabetes mellitus(DM) after 75 g oral gluco se tolerance test. Serum lipid, blood pressure, body height, and body weight w ere measured, at the same time the inquiries of cardiovascular and cerebrovascul ar events were made on the past history. Results (1)The pre valences of DM and IGT in this community were 8.68% and 9.02% respectivel y; (2) With the increase of age, the prevalence of abnormal glucose metaboli sm became higher; (3)There were the different prevalences of hypertension, dysli pidemia and obesity in the different glucose metabolic states, but the prevalenc es of cerebrovascular and cardiovascular events did not reach statistical differ ence in this less cases study; (4)Among diabetics, there was no differen ce in the prevalences of macrovascular complications and comorbidities betwe en male and female, but there was the above difference between male and female w ithout diabetics; (5)The prevalences of hypertension, dislipidemia and cardiovas cular events were lower in female less than 50 years old than those over 50 yea rs old. Conclusion There are higher prevalences of DM and IGT in this community. The prevalences of hypertension, dyslipidemia and obesity in the population with abnormal glucose metabolism are higher than those in population with NGT.更多还原