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目的探讨维吾尔族40岁以上居民2型糖尿病及糖调节受损的危险因素,为制定有针对性的干预策略及措施提供依据。方法采用整群抽样的方法,调查乌鲁木齐市维吾尔族居民较集中的6个社区40岁以上常住居民529人,按照WHO 1999年糖尿病的诊断标准确诊2型糖尿病及糖调节受损患者。以筛检的2型糖尿病92人及糖调节受损患者40人为病例组,选取血糖正常者59人为对照组,采用病例-对照研究方法,对相关因素进行单因素及多因素非条件Logistic回归分析。结果有糖尿病家族史(OR=2.577)、高血压(OR=2.115)、高血脂(OR=2.236)、腰臀比(OR=2.018)是糖尿病发病的独立危险因素,家族史(OR=2.954)、高血脂(OR=3.410)、喜油腻(OR=2.656)是糖调节受损发病的危险因素。结论社区维吾尔族居民应建立健康的生活方式;加强血压、血脂和体重的控制,倡导低脂饮食,是预防2型糖尿病发生的重要措施。
Objective To investigate the risk factors of type 2 diabetes and impaired glucose regulation in Uyghur residents over the age of 40 and provide basis for making targeted intervention strategies and measures. Methods A cluster sampling method was used to investigate the prevalence of type 2 diabetes mellitus and impaired glucose regulation in 526 residents over the age of six in Uyghur residents in Urumqi. Ninety-two patients with type 2 diabetes mellitus and 40 patients with impaired glucose regulation were selected as the control group, and 59 cases with normal blood glucose were selected as the control group. Univariate and multivariate Logistic regression analysis was used to analyze the related factors by using the case-control study . The family history (OR = 2.954), family history (OR = 2.577), hypertension (OR = 2.115), hyperlipidemia (OR = 2.236) and waist-hip ratio (OR = 2.018) were independent risk factors for diabetes. , Hyperlipidemia (OR = 3.410) and greasy greediness (OR = 2.656) were the risk factors of impaired glucose regulation. Conclusion Community Uyghur residents should establish a healthy lifestyle. Strengthening blood pressure, blood lipid and body weight control and advocating low-fat diet are important measures to prevent type 2 diabetes.