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目的了解连州市农村居民2型糖尿病患病现况及相关危险因素,为制定农村居民糖尿病防控措施提供理论依据。方法采用多阶段分层整群抽样方法,对连州市12个乡镇的9个村委≥18岁农村居民进行无症状2型糖尿病筛检及危险因素认知调查。结果筛检2 648人,IFG 284例(10.73%),对IFG进行葡萄糖负荷后2 h血糖(2 hPG)检测后,共计新确诊2型糖尿病患者154例(5.82%),男性75例(5.48%)、女性79例(6.18%)。经单因素χ~2检验分析,年龄(χ~2=10.161 7,P<0.01)、高血压(χ~2=27.870 3,P<0.000 1)、肥胖或超重(χ~2=28.260 8,P<0.000 1)、中心性肥胖(χ~2=47.8288,P<0.000 1)、血脂异常(χ~2=53.698 9,P<0.000 1)、糖尿病家族史(χ~2=67.986 8,P<0.000 1),患病率差异均有统计学意义。结论连州市农村居民的IFG和无症状2型糖尿病患病率较高,应在农村地区加大糖尿病防治知识的宣传力度,采取针对性干预措施改变农村居民的不良生活方式,并采取有效措施,早发现、早干预糖尿病患者。
Objective To understand the prevalence and risk factors of type 2 diabetes among rural residents in Lianzhou and provide a theoretical basis for the prevention and control measures of rural residents. Methods A multistage stratified cluster sampling method was used to screen asymptomatic type 2 diabetes mellitus and risk factors among 9 rural residents aged 18 or older in 12 townships in Lianzhou City. Results A total of 2 648 IFG patients (10.73%) were screened and 154 patients (5.82%) newly diagnosed with type 2 diabetes mellitus were recruited after two hours of glucose glucose (2 hPG) test on IFG. 75 males (5.48 %), Female 79 cases (6.18%). According to the single factor χ ~ 2 test, the differences of age (χ ~ 2 = 10.161 7, P <0.01), hypertension (χ ~ 2 = 27.8703, P <0.0001), obesity or overweight P <0.0001), central obesity (χ ~ 2 = 47.8288, P <0.0001), dyslipidemia (χ ~ 2 = 53.6989, P <0.0001), family history of diabetes (χ ~ 2 = 67.986 8, P <0.000 1), the prevalence differences were statistically significant. Conclusion The prevalence of IFG and asymptomatic type 2 diabetes in rural residents in Lianzhou City is high. Propaganda of diabetes prevention and control knowledge should be strengthened in rural areas, and targeted interventions should be taken to change the unhealthy life style of rural residents and take effective measures , Early detection, early intervention in patients with diabetes.