·糖尿病临床流行病学·

　　罗光涛 杨健全 王中琼 杨飞 李武 周江 李秀钧 袁萍

　　作者单位：636000四川巴中市中心医院内分泌科(罗光涛、杨健全、王中琼、杨飞、李武、周江);四川大学华西医院内分泌科(李秀钧);四川大学公共卫生学院流行病学教研室(袁萍)

　　基金项目：四川省卫生厅科研课题(070395)

　　【摘要】 目的 了解四川巴中地区老年人糖尿病(DM)及糖调节受损的发病现状。 方法 采用多级抽样的方法，抽取2414名巴中地区60岁及以上人群进行问卷调查、体检、血糖检查和糖耐量试验。 结果 2414名对象中，有252例患DM，患病率为10.4%;女性DM患病率高于男性，城镇高于农村，大专及以上文化程度的发病率最低，从事脑力劳动的高于体力劳动的，随经济收入的增高，DM患病率增高。单纯IFG患病率为6.6%，单纯的IGT患病率为22.8%，IFG合并IGT的患病率为1.9%。 结论 巴中地区老年人糖尿病及糖调节受损的患病形势严峻，应重视和加强防治工作。

　　【关键词】糖尿病;糖调节受损;老年;患病率

　　doi:10.3969/j.issn.1006-6187.2011.04.003

　　The prevalence survey of diabetes mellitus and impaired glucose regulation of the elder population in Bazhong，Sichuan province

　　LUO Guang-tao，YANG Jian-quan，WANG Zhong-qiong，et al.

　　Department of Endocrinology，the Central Hospital of Bazhong City, Sichuan Bazhong 636000, China

　　【Abstract】 Objective To investigate the prevalence of diabetes mellitus and impaired glucose regulation among the elderly population in Bazhong, Sichuan province. Methods Multi-stage random cluster sampling was performed to recruit study subjects aged 60 years or over in Bazhong. Data were collected through questionnaire, blood glucose testing and oral glucose tolerance testing. Results The prevalence of DM in elderly was 10.4%，and was higher in the female，urban elderly，mental worker than in male, rural elderly and physical labourer，respectively. The prevalence of DM was increased along with the family income increasing. The prevalence of IFG was 6.6%, IGT was 22.8% and IFG combined with IGT was 1.9%. Conclusion The situation of prevalence of diabetes mellitus in elderly of Bazhong is still grim. Great measures should be strengthened to enhance the prevention and treatment of diabetes mellitus.

　　【Key words】Diabetes mellitus;Impaired glucose regulation;Elderly;Prevalence