·流行病学研究·

　　基金项目：宁夏科技厅重点科技攻关项目(2007182)

　　作者单位：750004银川，宁夏医科大学公共卫生学院(李棹圻、王金莲、张毓洪、李正直);宁夏医科大学附属心脑血管医院(何兰杰)

　　银川地区常住人口2型糖尿病流行病学调查

　　李棹圻 何兰杰 王金莲 张毓洪 李正直

　　【摘要】目的了解银川地区18岁以上常住居民T2DM患病率及其影响因素，为T2DM及其并发症的防治提供理论依据。方法采用整群随机抽样的方法，对银川东苑等社区2900名常住居民进行体格检查、问卷调查及血液生化等指标检测。结果T2DM患病率为3.9%，IFG患病率为4.06%。其中男、女患病率分别为3.7%和4.1%，差异无统计学意义(χ2T2DM=0.076，P>0.05);IFG患病率男3.0%，女5.2%，差异有统计学意义(P<0.05)。随着年龄增加T2DM和IFG患病率呈升高的趋势(趋势χ2T2DM=71.239，P<0.01;趋势χ2IFG=35.148，P<0.01);多因素Logistic回归显示年龄、常吃水果、劳动强度、BMI、SBP、糖尿病家族史与T2DM有关。结论肥胖是诱发糖尿病的重要危险因素;高血糖、高血压、高血脂和高体重常常并存代谢综合征，共同损害血管。应合理膳食，加强体育锻炼，预防糖尿病的发生。

　　【关键词】糖尿病;患病率;危险因素;Logistic回归分析

　　doi:10.3969/j.issn.1006-6187.2012.05.005

　　The epidemiological survey of type 2 diabetes mellitus among residents in Yinchuan areaLI Zhao-qi，HE Lan-jie，ZHANG Yu-hong，et al. Department of Epidemiology and Statistics Staffroom, Ningxia Medical University Public Health, Yinchuan 750004, China

　　【Abstract】ObjectiveTo study the prevalence and risk factors of type 2 diabetes mellitus (T2DM) in residents of Yinchuan and to provide theoretical basis for the prevention and control of T2DM and its complications.MethodsMulti-stage random cluster sampling was used to analyze 2900 recruited subjects who were 18 years of age or over and were permanent residents of Yinchuan dongyuan and other communities. Data were collected through door to door survey，physical examination and laboratory testing. Risk factors of DM were analyzed by Logistic regression.ResultsThe prevalence of T2DM and IFG were 3.9% and 4.06% respectively. The gender specific rate for DM was 3.7% for male and 4.1% for female (χ2T2DM=0.076，P>0.05). The prevalence of IFG was higher in female(5.2%) than in male(3.0%).The total prevalence rate of T2DM and IFG was increased with age, and Multi-logistic regression indicated that age, fruits intake, physical activity level, BMI, SBP and the family history of DM were related with T2DM.ConclusionsObesity, dyslipidemia, hypertension are the major factors associated with T2DM. residents need rational diet and do more physical exercises to prevent DM.

　　【Key words】Diabetes mellitus; Prevalence; Risk factors;Logistic regression