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目的了解甘肃省部分藏区成人糖尿病及IGR的流行现状并分析其相关危险因素。方法于2011年9月至2012年6月,采用随机整群抽样方法,对天祝藏族自治县2个自然村和1个社区20～74岁居住5年及以上居民进行调查。结果糖尿病患病率为4.96%,IGR患病率为8.39%;城区糖尿病及IGR患病率分别为10.45%、8.96%,农村分别为3.26%、8.23%;藏族人群分别为6.51%、8.05%,汉族人群分别为4.57%、7.86%。年龄、BMI、糖尿病家族史、高血脂、高血压均为糖尿病和IGR的独立危险因素。结论该地区糖尿病和IGR流行状况严峻,藏族人群患病率高于汉族,未来农村糖尿病患病率将呈增长趋势,对40岁以上有糖尿病家族史及患有高血压的人群应进行密切随访及检测。
Objective To understand the prevalence and risk factors of adult diabetes mellitus and IGR in some Tibetan areas of Gansu Province. Methods From September 2011 to June 2012, a random cluster sampling method was used to survey two villages living in Tianzhu Tibetan Autonomous County and one community aged 20-74 living for five years and above. Results The prevalence of diabetes mellitus was 4.96% and the prevalence of IGR was 8.39%. The prevalence of diabetes mellitus and IGR in urban areas was 10.45% and 8.96% respectively, while that in rural areas was 3.26% and 8.23% respectively. The Tibetan population was 6.51% and 8.05% , Han people were 4.57%, 7.86% respectively. Age, BMI, family history of diabetes, hyperlipidemia and hypertension are all independent risk factors of diabetes and IGR. Conclusion The prevalence of diabetes and IGR in this area is severe, the prevalence of Tibetan population is higher than that of Han population, and the prevalence of diabetes in rural areas will increase in the future. Closely follow-up should be carried out for people over 40 years of age with family history of diabetes and hypertension Detection.