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按照WHO和中华医学会糖尿病学会规定的标准,1993年我们对吉林省柳河县进行了糖尿病流行病学调查,发现糖尿病(DM)及糖耐量低减(IGT)的患病率已分别达到4.52%和2.53%。城镇DM患病率(5.38%)略高于农村(2.34%)。DM及IGT患病率均随年龄增加而增高。IGT患病率与标准体重百分比呈正相关关系,IGT组平均标准体重百分数为113.6±23.7%,显著高于对照组(P<0.02)。肥胖组IGT患病率高达8.29%,与非肥胖组(2.40%)相比亦有增高的趋势。无论男性还是女性,DM和IGT患者的腰/臀比值均显著高于对照组(P<0.001)。DM和IGT患者的血压也明显高于对照组(P<0.001)。按体力劳动强度分组分析,随劳动强度的增加,DM患病率有减少的趋势。上述结果表明,该县糖耐量异常的比例已达很高的水平,这种情况可能与当地饮食习惯不良、体力劳动过少、腹部型肥胖者比例较大等因素有关。
According to the standards stipulated by the WHO and the Chinese Society of Diabetes Mellitus, in 1993, we conducted an epidemiological survey of diabetes in Liuhe County, Jilin Province. The prevalence of diabetes mellitus and impaired glucose tolerance (IGT) reached 4 respectively. 52% and 2.53%. The prevalence of DM in urban areas (5.38%) was slightly higher than that in rural areas (2.34%). The prevalence of DM and IGT increased with age. The prevalence of IGT was positively correlated with the standard weight percentage. The mean standard weight percentage of IGT group was 113.6 ± 23.7%, significantly higher than that of the control group (P <0.02). The prevalence of IGT in obesity group was as high as 8.29%, which was also higher than that in non-obese group (2.40%). The waist / hip ratio of DM and IGT patients was significantly higher than that of the control group (P <0.001), regardless of male or female. Blood pressure was also significantly higher in patients with DM and IGT than in controls (P <0.001). According to physical labor intensity group analysis, with the increase of labor intensity, the prevalence of DM tends to decrease. The above results show that the county has reached a high level of glucose tolerance abnormalities, which may be related to poor local diet, manual labor too little, a large proportion of abdominal obesity and other factors.