北川县地震后糖尿病现状和影响因素调查研究
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摘要
目的了解地震灾区糖尿病患病率和危险因素,为地震灾区灾后糖尿病的防治工作提供依据。方法 2009年3月至2009年5月间对地震灾区北川县当地居民进行指尖快速血糖筛查,如≥5.0mmol/L,立即进行静脉空腹血糖(FPG)测定和葡萄糖耐量试验(OGTT),同时进行体检和流行病学调查。结果糖尿病患病率为5.6%。不同年龄与不同文化程度组间患病率差别有统计学意义,经多因素lo-gistic回归分析,高龄、高血压、糖尿病家族史和腰臀比为糖尿病发病的独立危险因素。结论地震灾区灾后糖尿病的患病率虽无明显增高,但当地居民缺乏对糖尿病预防的重视,因此应加强管理,进行早期干预,尤其是对高危人群的早期干预,培养正确的态度,建立健康行为,以更好地控制糖尿病的发生。
Objective:To know diabetics morbidity and prevalence rate in quake-hit area in order to provide basis for diabetes mellitus prevention and treatment.Method:Dring march to may in 2009,we screened finger tip blood sugar on residents in county of quake-hit area.If≥5.0mmol/L,collected fasting plasma glucose(FPG),then did oral glucose tolerance test(OGTT),and conduct epidemiological investigation.Results:The morbidity rate of DM was 5.6%.There were significant differences in different ages and education level.Risk factors relative to diabetes mellitus induded hypertension family history,age,sleep quality.Conclusion:After earthquake diabetics morbidity does not distinctly increase,but local resident take no account of preventing diabetes.So we should conduct early intervention,especially for high risk group,cultivate right attitude and health behavior in order to reduce incidence of diabetes mellitus.
Objective:To know diabetics morbidity and prevalence rate in quake-hit area in order to provide basis for diabetes mellitus prevention and treatment.Method:Dring march to may in 2009,we screened finger tip blood sugar on residents in county of quake-hit area.If≥5.0mmol/L,collected fasting plasma glucose(FPG),then did oral glucose tolerance test(OGTT),and conduct epidemiological investigation.Results:The morbidity rate of DM was 5.6%.There were significant differences in different ages and education level.Risk factors relative to diabetes mellitus induded hypertension family history,age,sleep quality.Conclusion:After earthquake diabetics morbidity does not distinctly increase,but local resident take no account of preventing diabetes.So we should conduct early intervention,especially for high risk group,cultivate right attitude and health behavior in order to reduce incidence of diabetes mellitus.
引文
1张素华,任伟,李晨钟,等.2型糖尿病家系胰岛素分泌功能研究[J].中华内分泌代谢杂志,1999,15(6):339~341.
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4汉瑞娟,桂莉.糖尿病患者的健康教育[J].实用糖尿病杂志,2006,3(2):53.
5Kamoi K,Tanaka MI,karashi Te,t al.Effect of the 2004 MidNiigata Prefecture Earthquake on glycemic control in type 1diabetic patients[J].Diabetes Res Clin Pract2,0067,4(2):141~147.
6Kiriruka K,Nishizaki H,Kohriyama Ke,t al.Influences of TheGreat Hanshin-Awaji Earthquake on glycemic control in diabeticpatients[J].Diabetes Res Clin Pract,19973,6(3):193~196.
2郑以漫,项坤三,张蓉,等.糖尿病患者葡萄糖兴奋后胰岛素功能的关系[J].中华内分泌代谢杂志,19991,6(4):199.
3李秀钧,董砚虎,程丽霞,等.糖尿病研究进展——第16届国际糖尿病联盟大会纪要[J].中华内分泌代谢杂志,1998,14(2):72
4汉瑞娟,桂莉.糖尿病患者的健康教育[J].实用糖尿病杂志,2006,3(2):53.
5Kamoi K,Tanaka MI,karashi Te,t al.Effect of the 2004 MidNiigata Prefecture Earthquake on glycemic control in type 1diabetic patients[J].Diabetes Res Clin Pract2,0067,4(2):141~147.
6Kiriruka K,Nishizaki H,Kohriyama Ke,t al.Influences of TheGreat Hanshin-Awaji Earthquake on glycemic control in diabeticpatients[J].Diabetes Res Clin Pract,19973,6(3):193~196.
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