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目的调查了解克拉玛依炼油厂社区居民2型糖尿病患病率及其危险因素。方法采用整群随机抽样法于2007年10月-2010年3月在克拉玛依炼油厂社区抽取年龄>35岁的常住成人作为调查对象,统计不同民族、不同性别、不同年龄段人群的2型糖尿病患病率,对危险因素进行分析。以问卷收集资料并进行体格检查及实验室检查。结果抽取年龄>35岁汉族、维吾尔族及哈萨克族居民共3 821人,2型糖尿病总患病率为7.5%,男性糖尿病患病率为9.5%,女性为5.8%,男性2型糖尿病患病率高于女性(P<0.001)。汉族2型糖尿病患病率为7.4%,维吾尔族为10.4%,哈萨克族为6.8%,维吾尔族2型糖尿病患病率显著高于汉族和哈萨克族(χ2=29.36,P<0.01)。各年龄组间2型糖尿病的患病率差异有统计学意义(P<0.05),且2型糖尿病的患病率均随年龄的增长而增高。结论新疆2型糖尿病患病率存在民族差异。建立健康的生活方式、加强血压、血脂和体质量的控制及倡导低脂饮食是早期预防、发现并且诊治2型糖尿的重要措施。
Objective To investigate the prevalence and risk factors of type 2 diabetes among community residents in Karamay Refinery. Methods A cluster random sampling method was used to survey the resident adults> 35 years of age in the Karamay refinery community from October 2007 to March 2010, and the type 2 diabetes patients of different nationalities, different genders and different ages were collected The prevalence and risk factors were analyzed. Questionnaire collection of information and physical examination and laboratory tests. Results A total of 3821 Han, Uighur and Kazakh residents aged 35 and over were enrolled. The overall prevalence of type 2 diabetes was 7.5%. The prevalence of diabetes in men was 9.5% and in women 5.8%. The prevalence of type 2 diabetes in men Rate was higher than that of women (P <0.001). The prevalence of type 2 diabetes was 7.4% in Han nationality, 10.4% in Uygur nationality and 6.8% in Kazakh nationality. The prevalence of type 2 diabetes in Uygur nationality was significantly higher than that in Han and Kazak ethnicity (χ2 = 29.36, P <0.01). The prevalence of type 2 diabetes among all age groups was significantly different (P <0.05), and the prevalence of type 2 diabetes increased with age. Conclusion There are ethnic differences in the prevalence of type 2 diabetes in Xinjiang. Establishing a healthy lifestyle, strengthening the control of blood pressure, blood lipid and body weight and promoting low-fat diet are important measures to prevent, detect and treat type 2 diabetes in the early stage.