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目的:调查衢州市城乡中老年人群血糖水平及其相关代谢异常的发生情况,探讨其高危因素。方法:采取分层整群抽样方法,抽取衢州市城区、郊区、农村3个街道(乡镇)6个行政村1 730名30岁以上居民列入调查,通过检测血糖、血脂等血生化指标、体格检查和问卷调查进行血糖水平和影响因素调查。结果:衢州市30岁以上居民糖尿病患病率为4.86%,空腹血糖受损患病率为8.09%,两者患病率均随年龄增加而上升,且55岁以上组患病率上升明显。男、女之间,城、乡之间患病率无差别。年龄、体重指数、血压、甘油三脂、总胆固醇是DM和IFG的危险因素。结论:衢州市糖尿病流行状况严重,对高危因素者要及时筛查血糖,应从多个因素综合控制。
Objective: To investigate the incidence of blood glucose and its related metabolic abnormalities in middle-aged and elderly population in urban and rural areas of Quzhou and to explore the risk factors. Methods: A stratified cluster sampling method was adopted to select 1 730 residents over the age of 30 from 6 administrative villages in 3 streets (townships) of urban, suburban and rural areas of Quzhou City for investigation. Blood glucose, blood lipids and other blood biochemical indexes were measured, Check and questionnaire survey of blood glucose levels and influencing factors. Results: The prevalence of diabetes was 4.86% in Quzhou residents over the age of. The prevalence of impaired fasting glucose was 8.09%. The prevalence of both was increased with the increase of age, and the prevalence rate of 55 years old group increased significantly. There is no difference in the prevalence between men and women, between cities and townships. Age, body mass index, blood pressure, triglycerides, and total cholesterol were risk factors for DM and IFG. Conclusion: The prevalence of diabetes mellitus is very serious in Quzhou City, and the blood sugar should be timely screened for those with high risk. Comprehensive control should be made from many factors.