【摘要】 目的 调查湖北省夷陵区农村人口的糖尿病患病率及糖调节受损(IGR)的发病现状。 方法 采用随机整群抽样的方法，抽取夷陵区6个社区中35岁以上居民9871例。 结果 本次调查发现糖尿病患者441例，患病率为4.47%;IGR者608例，患病率为6.16%。新诊断糖尿病患者256例，占糖尿病患者总数的58.05%。糖尿病发病率随年龄的增长、BMI增加而升高。随收缩压的增长，TG和LDL-C增高，其危险性亦升高。而HDL-C增高或者加强体育锻炼对糖尿病患者具有保护作用。 结论 糖尿病是夷陵区农村人口常见的慢性病，其患病率随血压升高、BMI增加、脂代谢紊乱、个人收入增长而升高。因此控制体重、血压和血脂水平，对预防糖尿病具有重要意义。

　　【关键词】糖尿病;糖调节受损;农村人口;患病率

　　A survey of diabetes and impaired glucose regulation in rural residents of Yiling of Hubei province GAO Xue-wen, GAO Xue-nong, ZHANG Jun, et al. Department of Cardiology, Yiling Hospital, Yichang 443100, China

　　【Abstract】 Objective To investigate the prevalence of diabetes and impaired glucose regulation (IGR) in the rural residents of Yiling of Hubei province. Methods A random cluster sampling method was adopted. In total 9871 residents over the age of 35 from six communities of Yiling were taken as the subjects for investigation. Results Of the 9871 rural residents over the age of 35, 441 were found with diabetes, the prevalence was 4.47%, and 608 were found with IGR, the prevalence was 6.16%. There were 256 newly identified diabetes patients, accounted for 58.05% of the total. The incidence of diabetes increased along with age growing and BMI increase. The increase in systolic blood pressure, TG, and LDL-C made the risk increased. While the HDL-C increase and the enhanced physical exercises exert a protective effect on diabetes patients. Conclusion Diabetes is a common chronic disease of rural residents in Yiling. The incidence is increased along with the increased blood pressure, BMI, lipid metabolism disorders, personal income growth, and therefore, the control of body weight and blood pressure and lipid levels is of great significance in preventing diabetes.

　　【Key words】 Diabetes mellitus; Impaired glucose regulation; Rural residents; Incidence