【摘要】 目的　调查研究贫困地区不同经济收入农民糖尿病 (DM)、糖耐量减低 (IGT)患病情况及其主要的影响因素 ,为制定防治规划提供科学参数。方法　把调查区域划分为东、南、西、北、中 5个自然区 ,然后在每个自然区随机抽取 2或 3个行政村进行普查。尿糖、血糖检验采用葡萄糖氧化酶法。DM分类及诊断标准按 1980年北京会议修订经卫生部审批的暂行标准。结果　年人均收入为80 0～ 2 5 0 0元的农民的非胰岛素依赖型糖尿病 (NIDDM)和IGT患病率分别为 1.2 1%和 2 .35 % ,标化患病率分别为 0 .96 %和 1.98%。 2 0岁以前DM、IGT患病率相当低 ,2 0岁以后患病率随年龄的增长而升高 ,70～ 80岁达高峰。 30～ 40岁是DM患者明显增多期 ,2 0～ 30岁是IGT患者明显增多期。DM、IGT男、女患病率之间的差异无显著性 (χ2 =0 .19、0 .12 ,P >0 .5、0 .5 )。年人均收入在 12 0 0元以下的贫困型农民DM、IGT患病率 (2 .2 3%、3.5 5 % )分别高于年人均收入为 2 0 0 0～ 2 5 0 0元的富裕温饱型农民的患病率 (0 .39%、1.18% ) ,差异有非常显著性 (χ2 =18.11、18.10 ,P <0 .0 0 5、0 .0 0 5 ) ;也分别高于年人均收入为 12 0 0～ 190 0元的一般与较差温饱型农民的患病率 (0 .80 %、1.92 % ) ,差异亦有非常显著性 (χ2 =2 5 .85、18.2 0更多还原

【Abstract】 Objective In order to study the morbidity of diabetes mellitus (DM), impaired glucose tolerelnce (IGT),and main effective factors of peasants with different income in poor area and to provide scientific data for strategy development. Methods The regions of investigation were divided into five parts: east,south,west,north and centre with two and three villages randomly selected for study from each region. Glucose-oxidase method was used to measure blood sugar and urine sugar. The classification and diagnosis standard were referred from the Beijing conference in 1980. Results The morbidity rates of non- insulin-dependent diabetes mellitus (NIDDM) and IGT were 1.21% and 2.35% in peasants who earned 800 and 2 500 yuan every year respectively. The standardized morbidity of NIDDM and IGT were 0.96 % and 1.98%. We found that morbidity of NIDDM and IGT was very low among those younger than 20 years old but increased with age until reaching the top at the age of 70 to 80 years. DM patients were prominently seen at 30 to 40 year olds and IGT at 20 to 30 year olds. There was no difference of morbidity between male and female seen (χ 2=0.19 and 0.12; P >0.05 and 0.05). The morbidity rates of DM and IGT in poverty type peasants who earned less than 1 200 yuan every year were 2.23% and 3.55% respectively, higher than those with adequate food and clothing type peasants who earned 2 000 to 2 500 yuan every year (morbidity rates were 0.39% and 1.18%;χ 2=18.11 and 18.10, P <0.05 and 0.005) and those with common type of peasants who earned 1 200 to 1 900 yuan every year (morbidity rates were 0.80% and 1.92%; χ 2=25.85 and 18.20, P <0.005 and 0.005). Conclusion These results showed that sex did not obviously relate to morbidity of DM and IGT while age was one of the risk factors. The differences of income and unhealthyfood intakeplayed an role in thedifference of morbidity to DM and IGT.It is important to increase the income of peas tants and to change the unhealthy life style.更多还原