【摘要】 [目的 ]　了解卢湾区糖尿病死亡情况 ,为确定社区糖尿病综合防制策略和工作重点提供参考。　 [方法 ]　根据卢湾区 1974～ 2 0 0 2年死因资料 ,对不同年份、性别、年龄、季节、地域人群的糖尿病死亡率及变化趋势进行描述性统计与分析。　 [结果 ]　 2 9年来 ,卢湾区糖尿病死亡率及男女糖尿病死亡率基本上呈波动性的上升趋势 ,女性高于男性 ,随年龄增高而增高 ,冬季死亡率高于其他季节 ,与人文社会环境因素有关。　 [结论 ]　综合、系统、高效开展社区糖尿病防治 ,需依托健全的社区卫生服务网络 ,加强群体化和个体化预防保健和危险因素监测评价是减少发病与死亡的关键 ,老人和妇女是重点对象。更多还原

【Abstract】 To provide reference for a community-based integrated strategy to prevention and control Diabetes Mellitus (DM) and to identify the work priority. Based on the data of death causes from1974 to 2002 in Luwan district,Shanghai, descriptive statistical analysis were used to describe the level of mortality of DM and its trend of change in corresponding population by time,gender,age and living place. In the past 29 years, the mortality of DM in Luwan district increased with time and age . Female DM mortality was higher than that of male and the mortality in winter was higher than that in the other seasons. The mortality of DM was associated with local humanistic and social factors. [Conclusion] Carrying out community-based , integrated,systematic and efficient prevention and care for DM depends on a sound community health service network. The key of decreasing the incidence and death of DM is to strengthen the prevention and health care at both individual and population level and to supervise and evaluate risk factors of DM. The priority target population is women and the elderly.更多还原