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[目的]调查德州市城区20～74岁常住居民糖尿病患病率。[方法]采取随机整群抽样法,在德州市城区随机抽取两个社区,将两社区中20～74岁常住居民4123人作为研究对象,进行流行病学调查及口服葡萄糖耐量试验。[结果]应答率为97.83%;糖尿病患病率为5.63%,标化患病率为3.80%,其中新诊糖尿病占64.16%;糖调节受损患病率为10.09%,标化患病率8.07%。糖尿病及糖调节受损患病率随年龄增加而增加。[结论]德州市城区20～74岁人群糖尿病防治形势严峻,糖尿病筛查工作亟待提高,大量糖调节受损患者的存在为糖尿病进一步流行创造了条件。
[Objective] To investigate the prevalence of diabetes in urban residents aged 20 ~ 74 in Dezhou. [Methods] A random cluster sampling method was used to select two communities randomly from the urban area of Dezhou, and 4123 permanent residents aged from 20 to 74 in two communities were taken as research objects to carry out epidemiological investigation and oral glucose tolerance test. [Results] The response rate was 97.83%, the prevalence of diabetes was 5.63%, the standardized prevalence rate was 3.80%, of which the newly diagnosed diabetes accounted for 64.16%; the prevalence of impaired glucose regulation was 10.09%, and the standardized prevalence 8.07%. The prevalence of diabetes and impaired glucose regulation increases with age. [Conclusion] The prevention and treatment of diabetes in urban population aged 20 ~ 74 years in Dezhou City is in a serious situation. The screening of diabetes needs to be improved urgently. The presence of a large number of patients with impaired glucose regulation has created the conditions for the further epidemic of diabetes.