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目的 研究重庆市主城区老年人糖尿病(aged diabetes mellitus, ADM)的社区患病情况和特征。方法 采用普查、系统抽样调查和临床检查相结合的方法调查重庆市主城区7 个社区60 岁以上ADM患病状况和生活质量。结果 (1)社区ADM“知晓患病率”为2.85%;(2)高血压(HT)和白内障并发率分别为52.63%和16.27%,相对危险度(RR)分别为8.86和5.68(P<0.01),其中51.91%的ADM先患HT,先患DM者占28.42%;(3)与对照组比较,ADM患者生活习惯有显著改善,但健康状况自我认识和满意度较差(P<0.01);(4)患者BMI、WHR、血压、血糖、HbA1c和LDL C均显著高于对照组(P<0.05);(5)DM+HT组家庭功能评估(Family APGAR)积分≤3分及抑郁症自评(CES D)积分≥20分的比例显著高于DM组(P<0.05)。结论 社区内ADM知晓率低,患者代谢控制差,受老年状态的影响,尽管生活习惯有改善,但生活质量仍较差。
Objective To study the community prevalence and characteristics of aged diabetes mellitus (ADM) in the main urban area of Chongqing. Methods Census, systematic sampling and clinical examination were used to investigate the prevalence and quality of life of ADM patients over the age of 60 in 7 communities in the main urban area of Chongqing. Results (1) The prevalence of ADM in community was 2.85%. (2) The rates of hypertension and cataract were 52.63% and 16.27%, respectively. The relative risk (RR) were 8.86 and 5.68, respectively (P < 0.01). Among them, 51.91% of the patients with ADM were predisposed to HT and 28.42% were those with prediabetes. (3) Compared with the control group, the lifestyle of ADM patients was significantly improved, but the self-awareness and satisfaction of health were worse (P <0.01) (4) The BMI, WHR, blood pressure, blood glucose, HbA1c and LDL C were significantly higher in the patients with DM + HT than those in the control group (P <0.05). (5) Family APGAR score ≤3 and depression The proportion of CES D score ≥20 points was significantly higher than that of DM group (P <0.05). Conclusion In community, the awareness rate of ADM is low, the patients’ metabolic control is poor and the status of the elderly is affected. Although the living habits is improved, the quality of life is still poor.