【摘要】 目的 :了解广西柳州市目前糖尿病 (DM)发病率及其影响因素。方法 :对 1994年广西柳州市 DM、糖耐量低减 (IGT)调查中确定为非 DM的 5 5 39人 ,5 .2 5年后复查血糖、体重指数 (BMI)、血压、血脂并进行分析。结果 :在被调查的 5 5 39人中 ,有96人转变为 DM,年发病率为 330 .1/ 10万 ;按 1990年广西柳州市人口标准化发病率为 4 0 2 .0 / 10万。 2 6 6名 IGT中 ,有 5 0人转化为 DM,年转化率为 3.84 %。经 L ogistic回归分析显示 ,年龄、BMI、高血压、空腹血糖、OGTT1h血糖、OGTT2 h血糖是DM发病的危险因素。结论 :广西柳州市 DM发病率已达较高水平 ,对 DM的预防应在年轻时就要避免过高的糖负荷、高 BMI及高血压的发生更多还原

【Abstract】 Objective:To study the incidence of type 2 diabetes mellitus and its affecting factors in Liuzhou city Methods:Blood glucose,body mass index(BMI),blood pressure and serum lipid from the 5 539 inhabitants who had been firmly established as non DM in 1994 were measured and statisticaly analyzed Result:Of 5 539 subjects investigated, 96 DM were detected,the annual incidence of DM was 330 1 per 100 000 According to the 1990 population age structure of Liuzhou, the age adjusted incidence of DM was 402 per 100000 By multivariative logistic regression analysis, the incidence of DM had independent and positive correlation with age,BMI,hypertension,fasting blood glucose,oral glucose tolerance test(OGTT)1h PG and OGTT2h PG Conclusion:the adjusted annual incidence of DM in Liuzhou,Guangxi have reached a higher level,suggesting that the incidence of DM is increasing Overload of blood glucose,overweight and hypertension from young period should be avoided to prevent DM更多还原