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目的探讨宁夏地区职业人群2型糖尿病的流行现状及其危险因素。方法采用分层整群随机抽样的方法收集了2009年4-10月在宁夏医科大学附属医院进行体检的3191名宁夏地区职业人群的临床资料,对抽样人群进行问卷调查、体格检查以及血液生化等指标的检测,并对糖尿病的危险因素进行多因素Logistic回归分析。结果空腹血糖受损患病率为3.42%(标化率为3.17%),2型糖尿病患病率为5.86%(标化率为5.46%),男性空腹血糖受损和糖尿病患病率均高于女性,差异有统计学意义(P<0.01);回族糖尿病患病率为2.77%(标化率为8.31%);汉族糖尿病患病率为3.69%(标化率为2.58%);2型糖尿病患病的危险因素主要有年龄、工龄、糖尿病家族史、腰围、甘油三酯以及总胆固醇;保护性因素包括文化程度及锻炼身体。结论宁夏地区职业人群2型糖尿病患病率接近全国平均水平;回族的T2DM标化患病率高于汉族;控制血脂水平、加强体育锻炼、提高自我防护意识是预防2型糖尿病的重要措施。
Objective To explore the prevalence and risk factors of type 2 diabetes among occupational population in Ningxia. Methods The stratified cluster random sampling method was used to collect the clinical data of 3191 occupational groups in Ningxia from April to October 2009 at the Affiliated Hospital of Ningxia Medical University. The questionnaires, physical examination and blood biochemistry of the sampled population were collected Indicators of detection, and diabetes risk factors by multivariate Logistic regression analysis. Results The prevalence of impaired fasting glucose was 3.42% (standardized rate was 3.17%). The prevalence of type 2 diabetes was 5.86% (standardized rate was 5.46%). The impaired fasting glucose and diabetes prevalence in men were high (P <0.01). The prevalence of diabetes in Hui nationality was 2.77% (standardized rate was 8.31%). The prevalence of diabetes in Han nationality was 3.69% (standardized rate was 2.58% Risk factors for diabetes are mainly age, length of service, family history of diabetes, waist circumference, triglycerides and total cholesterol; protective factors include education and physical activity. Conclusion The prevalence of type 2 diabetes in occupational population in Ningxia is close to the national average. The prevalence of T2DM in Hui nationality is higher than that in Han people. It is an important measure to prevent type 2 diabetes by controlling blood lipid levels, strengthening physical exercise and improving self-protection awareness.