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目的调查分析社区老年人2型糖尿病的发病情况及流行特征,为该社区老年人2型糖尿病预防与管理措施的制定提供科学的参考依据。方法以上海市黄浦区60岁及以上常驻居民为调查对象,采用方便抽样的方法进行抽样,最后以2015年4月至2016年3月在上海市黄浦区打浦桥街道社区卫生服务中心进行免费体检的60岁及以上常驻居民为调查对象,调查内容包括人口学特征、体格检查和空腹血糖,采用描述流行病学方法对结果进行分析。结果本研究共对1 516名≥60岁的社区老人进行调查,男性816人,女性700人,平均年龄为(72.4±3.5)岁,文化程度以初中、高中或中专为主,共877人,占57.8%。月均收入以2 000~5 999元为主,占35.5%,BMI以≤25为主,占55.8%。调查结果显示,空腹血糖受损患病率为13.2%,糖尿病患病率为12.9%。不同年龄、文化程度、月均收入、BMI调查对象糖尿病患病率差异具有统计学意义(均P<0.05)。结论上海市黄浦区社区老年人空腹血糖异常比例较高,与调查对象的年龄、文化程度、经济收入、BMI等情况相关,建议根据其发病特点制定预防与控制社区老年人糖尿病的干预措施,降低社区老年人糖尿病的患病率,提高其生活质量。
Objective To investigate and analyze the incidence and prevalence of type 2 diabetes in the elderly in the community and provide scientific reference for the formulation of prevention and management measures for type 2 diabetes in the community. Methods The residents aged 60 years and over in Huangpu District of Shanghai were surveyed by means of convenient sampling method. Finally, from April 2015 to March 2016 in Dapuqiao Street Community Health Service Center, Huangpu District, Shanghai Free medical examination of residents aged 60 and over as the survey, the survey includes demographic characteristics, physical examination and fasting blood glucose, using descriptive epidemiological methods to analyze the results. Results A total of 1 516 community aged 60 or older were surveyed. There were 816 males and 700 females, with an average age of (72.4 ± 3.5) years and a total of 877 students , Accounting for 57.8%. The average monthly income was 2 000 ~ 5 999 yuan, accounting for 35.5%. The BMI was mainly ≤25, accounting for 55.8%. The survey showed that the prevalence of impaired fasting glucose was 13.2% and the prevalence of diabetes was 12.9%. The prevalence of diabetes among different age, educational level, average monthly income and BMI was statistically significant (all P <0.05). Conclusion The prevalence of abnormal fasting blood glucose in community elderly in Huangpu district of Shanghai is relatively high, which is related to the age, educational level, economic income and BMI of the surveyed population. It is suggested that interventions should be made to prevent and control diabetes in the elderly in community according to their characteristics of onset. Prevalence of diabetes in community elders improves their quality of life.