【摘要】 目的对近5年江西地区糖尿病患病情况进行调查,并对江西省成人糖尿病患病现状进行危险因素分析。方法采用多阶段分层整群随机抽样法于2015年4月-8月在江西省南昌社区及上饶城乡进行抽样2665名18至79岁常驻居民进行横断面调查。所有受试者均接受有关人口学信息及糖尿病相关病史的问卷调查,空腹测血糖、血脂、尿酸、糖化血红蛋白,并接受身高、体重、血压等测量。既往无糖尿病个人史者均进行口服葡萄糖耐量试验(OGTT),测餐后2h血糖。采用Epidata3.1软件对数据进行双人录入建立数据库。SPSS17.0软件进行统计分析,率的比较用卡方检验,危险因素采用多因素Logistic回归分析。结果⑴按照WHO诊断标准,江西省成人糖尿病患病率为9.5%,糖尿病前期患病率为17.4%;城市糖尿病患病率为10.3%,农村为8.6%;男性糖尿病患病率为10.6%,女性为8.3%,男性高于女性。按照ADA诊断标准,江西糖尿病患病率为12.3%,糖尿病前期患病率48.6%;城市糖尿病患病率为14.4%,农村为9.9%,城市高于农村;男性糖尿病患病率为13.7%,女性为10.8%,男性高于女性。⑵随着年龄的增长,江西省糖尿病患病率呈上升趋势。⑶江西省糖尿病知晓率不高,WHO诊断标准下知晓率为48.6%,ADA诊断标准下知晓率为37.5%;⑷江西省糖尿病血糖控制达标率低,以治疗后糖化血红蛋白﹤7.0%为达标标准,达标率为28.6%,以治疗后糖化血红蛋白﹤6.5%为达标标准,达标率为15.1%。⑸经Logistic回归分析,结合两种诊断标准,城市居民、男性、高胆固醇、高血压、超重肥胖、腰围增大、中老年、糖尿病家族史阳性、初中以下文化程度是江西省糖尿病发生的独立危险因素。结论江西省成人糖尿病患病率高,呈上升趋势,知晓率低,血糖控制达标率低,应加强高危人群糖尿病的筛查及健康教育。更多还原

【Abstract】 Objective To investigate the prevalence and analyze the risk factors of diabetes mellitus in adults of Jiangxi province in recent 5 years. Methods A total of 2665 permanent residents aged 18 to 79 years old were selected in Nanchang and Shangrao regions from April to August in 2015 and the multi-stage stratified cluster random sampling method was used.Questionnaire survey that included personal statistics information and diabetes related disease,fasting blood glucose,blood lipid,uric acid,hemoglobin,weight,height and blood pressure test were needed for all participants.The person who was not diabetes before needed to accept oral glucose tolerance test and measure the 2-hour postprandial blood glucose.Using Epidata 3.1 software to build database by double entry.SPSS 17.0 software for statistical analysis,using chi-square to test the comparison of rate and multivariate Logistic regression analysis for risk factors of diabetes. Results 1.According to the WHO diagnostic criteria,the overall prevalence of diabetes and prediabetes among adults in Jiangxi was 9.5% and 17.4%.The prevalence among urban and rural residents was10.3% and 8.6%.The prevalence of diabetes among men was 10.6% and 8.3%,it was higher among men than women;According to the ADA diagnostic criteria,the overall prevalence of diabetes and prediabetes among adults in Jiangxi was 12.3% and 48.6%.The prevalence among urban and rural residents was 14.4% and 9.9%,it was higher among urban residents than rural residents.The prevalence of diabetes among men was 13.7% and 10.8%,it was higher among men than women.2.The prevalence of diabetes among adults was on the rise as the growth of age in Jiangxi province.3.The awareness rate of diabetes was not high,it was 48.6%according to the WHO diagnostic criteria and 37.5% according to the ADA diagnostic criteria.4.The success control rate of diabetes was low,it was 28.6% on the basis of glycosylated hemoglobin less than 7.0%,if the glycosylated hemoglobin below 6.5% for the standard,the success control rate was 15.1%.5. The Logistic regression analysis indicated that urban residents,male,high cholesterol,high blood pressure,overweight,obesity,expanded waist circumference, elder age, a positive family history of diabetes,degree of education were the independent risk factors for diabetes in Jiangxi province combined with the two kinds of diagnostic criteria. Conclusion The prevalence of diabetes was high and on the rise in Jiangxi province,with low awareness rate and low compliance rate of blood glucose control, so we should strengthen the screening and health education in high-risk groups.更多还原