·糖尿病临床流行病学·

　　【摘要】 目的 了解甘肃省部分藏区成人糖尿病及IGR的流行现状并分析其相关危险因素。 方法 于2011年9月至2012年6月，采用随机整群抽样方法，对天祝藏族自治县2个自然村和一个社区20～74岁居住5年及以上居民进行调查。 结果 糖尿病患病率为4.96%,IGR患病率为8.39%;城区糖尿病及IGR患病率分别为10.45%、8.96%，农村分别为3.26%、8.23%;藏族人群分别为6.51%、8.05%，汉族人群分别为4.57%、7.86%。年龄、BMI、糖尿病家族史、高血脂、高血压均为糖尿病和IGR的独立危险因素。 结论 该地区糖尿病和IGR流行状况严峻，藏族人群患病率高于汉族，未来农村糖尿病患病率将呈增长趋势，对40岁以上有糖尿病家族史及患有高血压的人群应进行密切随访及检测。

　　【关键词】糖尿病;糖调节受损;流行病学

Epidemiological investigation of diabetes and impaired glucose regulation of adults in Tianzhu Tibetan autonomous county, Gansu province YANG Chang-qing, LIU Jing, QIU Jian- wu, et al. The First Clinical Medical College, Lanzhou University, Lanzhou 730000, China

Corresponding Author: LIU Jing, E-mail: liujingwelcome@126.com

　　【Abstract】Objective To identify the prevalence and risk factors of diabetes and prediabetes in the rural and community residents 20～74 years old in the Tibetan autonomous county from Gansu poor areas.   Methods   September 2011 to June 2012, the residents 20～74 years old living in the rural and communities of Tianzhu county for 5 or more years were sampled with multistage clustering sampling. Results The incidence of DM in these community residents was 4.96%, and that of IGR was 8.39%. The incidence of DM and IGR in the communities was 10.45% and 8.96% respectively, while that in the rural area was 3.26% and 8.23% respectively, that in the Tibetan residents was 6.51% and 8.05% respectively, and that in the Han residents was 4.57% and 7.86% respectively. Age, body mass index, family history of diabetes mellitus, case history of high blood fat and hypertension, and smoking were all the independent risk factors for IGR and DM. Conclusion Diabetes and prediabetes are prevalent in the rural and community residents in the Tianzhu Tibetan autonomous county. The incidence of diabetes and prediabetes of Tibetan residents is higher than that of Han people. The incidence of diabetes of residents in rural areas is in growing in future. Those residents over 40 years old with family history of DM and hypertension patients should be closely followed up for observation.

　　【Key words】Diabetes mellitus (DM); Impaired glucose regulation (IGR); Epidemiology