论文部分内容阅读
目的为了解北京市中老年人2型糖尿病DM和糖耐量低减(IGT)的患病情况。方法采用随机整群抽样方法,对北京市城乡4个社区40岁以上常住居民2354人进行了横断面调查。结果1997年北京市中老年人糖尿病标化患病率为10.54%,IGT标化患病率为11.51%。中年组(40～59岁)糖尿病标化患病率为8.20%,IGT标化患病率为9.56%;老年组(60～99岁)糖尿病标化患病率为15.70%,IGT标化患病率为15.72%,老年组高于中年组DM:P<10-8;IGT:P<10-8。女性糖尿病标化患病率(11.77%)显著高于男性(8.81%)x2=6.73,P=0.0095。女、男患病率之比为1:0.75。IGT标化患病率,男(10.49%)和女(12.06%)之间无显著区别。城市的糖尿病标化患病率12.03%比乡村(6.76%高近一倍,并有显著性差别x2=12.65,P=0.0004。结论北京市中老年糖尿病患病率已达到糖尿病高发国家下限,中老年群体中高龄高患病率的事实告诫我们,中老年糖尿病防治,已成为保健工作的重要任务。
Objective To understand the prevalence of type 2 diabetes mellitus (DM) and impaired glucose tolerance (IGT) in middle-aged and elderly people in Beijing. Methods A random cluster sampling method was used to conduct a cross-sectional survey of 2354 permanent residents over the age of 40 in four communities in Beijing urban and rural areas. Results In 1997, the prevalence of diabetes mellitus in middle-aged and elderly people in Beijing was 10.54%, and the prevalence of IGT was 11.51%. The standardized prevalence of diabetes in the middle-aged group (40-59 years old) was 8.20% and the prevalence of IGT was 9.56%. The prevalence of diabetes was 15.70% in the elderly group (60-99 years old) The prevalence was 15.72%. The elderly group was higher than the middle-aged group DM: P <10-8; IGT: P <10-8. The prevalence of diabetic diabetes in women (11.77%) was significantly higher than that of men (8.81%) x2 = 6.73, P = 0.0095. Female, male prevalence ratio of 1: 0.75. The prevalence of IGT was not significantly different between male (10.49%) and female (12.06%). The prevalence of diabetes mellitus in urban areas was 12.03%, which was nearly double that of rural areas (6.76%), with a significant difference of x2 = 12.65, P = 0.0004. Conclusion The prevalence of diabetes mellitus in Beijing has reached the national lower limit of diabetes mellitus The fact that older people in the elderly have a higher prevalence rates warns us that prevention and treatment of middle-aged and older people’s diabetes has become an important task in health care.