山东省滨州地区不同经济收入农民糖尿病流行病学调查研究

张进军; 洪福贵; 张进元; 崔晓峰; 张世增; 张玉华

Abstract

张进军,洪福贵,张进元,崔晓峰,张世增,张玉华.山东省滨州地区不同经济收入农民糖尿病流行病学调查研究[J].Chinese journal of Epidemiology,2000,21(2):106-109

山东省滨州地区不同经济收入农民糖尿病流行病学调查研究

Study on the epidemiology of diabetes mellitus in peasants with different income in Binzhou prefecture Shandong province.

Received:July 30, 1999

DOI：

KeyWord: 糖尿病糖耐量减低流行病学

English Key Word: Diabetes mellitus Impaired glucose tolerance Epidemiology

FundProject:

Author Name	Affiliation
ZHANG Jinjun	Antiepidemic Station of Binzhou Prefecture, Binzhou 256618, China
HONG Fugui	Antiepidemic Station of Binzhou Prefecture, Binzhou 256618, China
ZHANG Jinyuan	山东省滨州市卫生防疫站
崔晓峰	山东省滨州地区卫生局
张世增	Antiepidemic Station of Binzhou Prefecture, Binzhou 256618, China
张玉华	山东省滨州市卫生防疫站

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Abstract:

目的　调查研究贫困地区不同经济收入农民糖尿病(DM)、糖耐量减低(IGT)患病情况及其主要的影响因素, 为制定防治规划提供科学参数. 方法　把调查区域划分为东、南、西、北、中5个自然区, 然后在每个自然区随机抽取2或3个行政村进行普查. 尿糖、血糖检验采用葡萄糖氧化酶法. DM分类及诊断标准按1980年北京会议修订经卫生部审批的暂行标准. 结果　年人均收入为800～ 2500元的农民的非胰岛素依赖型糖尿病(NIDDM)和IGT患病率分别为1. 21%和2. 35%, 标化患病率分别为0. 96 %和1. 98%. 20岁以前DM、IGT患病率相当低, 20岁以后患病率随年龄的增长而升高, 70～80岁达高峰. 30～40岁是DM患者明显增多期, 20～30岁是IGT患者明显增多期. DM、IGT男、女患病率之间的差异无显著性(x²=0. 19、0. 12, P>0. 5、0. 5). 年人均收入在1200元以下的贫困型农民DM、IGT患病率(2. 23%、3. 55%)分别高于年人均收入为2000～2500元的富裕温饱型农民的患病率(0. 39%、1. 18%), 差异有非常显著性(x²=18. 11、18. 10, P<0. 005、0. 005) 也分别高于年人均收入为1200～1900元的一般与较差温饱型农民的患病率(0. 80%、1. 92%), 差异亦有非常显著性(x²=25. 85、18. 20, P<0. 005、0. 05). 结论本次调查结果显示, 性别与DM、IGT患病无明显关系. 年龄的增长是一个独立的危险因素. 农民经济状况的低差及不良的饮食习惯与DM、IGT的发生有关. 提高贫困型农民的生活水平和改良他们的饮食习惯是降低DM、IGT 患病率的关键所在.

English Abstract:

Objective In order to study the morbidity of diabetes mellitus (DM), impaired glucose tolerelnce (IGT), and main effective factors of peasants with different income in poor area and to provide scientific data for strategy development. Methods The regions of investigation were divided into five parts: east, south, west, north and centre with two and three villages randomly selected for study from each region. Glucose-oxidase method was used to measure blood sugar and urine sugar. The classification and diagnosis standard were referred from the Beijing conference in 1980. Results The morbidity rates of non-insulin-dependent diabetes mellitus (NIDDM) and IGT were 1. 21% and 2. 35% in peasants who earned 800 and 2500 yuan every year respectively. The standardized morbidity of NIDDM and IGT were 0. 96% and 1. 98%. We found that morbidity of NIDDM and IGT was very low among those younger than 20 years old but increased with age until reaching the top at the age of 70 to 80 years. DM patients were rominently seen at 30 to 40 year olds and IGT at 20 to 30 year olds. There was no difference of morbidity between male and female seen (x²=0. 19 and 0. 12; P>0. 05 and 0. 05). The morbidity rates of DM and IGT in poverty type peasants who earned less than 1200 yuan every year were 2. 23% and 3. 55% respectively, higher than those with adequate food and clothing type peasants who earned 2000 to 2500 yuan every year (morbidity rates were 0. 39% and 1. 18%;x²=18. 11 and 18. 10, P<0. 05 and 0. 005) and those with common type of peasants who earned 1 200 to 1 900 yuan every y ear (morbidity rates were 0. 80% and 1. 92%;x²= 25. 85 and 18. 20, P<0. 005 and 0. 005). Conclusion These Results showed that sex did not obviously relate to morbidity of DM and IGT while age was one of the risk factors. The differences of income and unhealthy food intake played an role in the difference of morbidity to DM andIGT. It is important to increase the income of peas tants and to change the unhealthy life style.

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