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目的了解杭州市江干区18岁以上居民糖尿病的患病情况,分析其发生的危险因素及影响因素,并针对上述因素提出初步控制措施。方法采用多阶段分层和整群抽样方法,抽取885例江干区18岁以上居民进行问卷调查和医学体检,并采集外周静脉血进行血糖水平检测。结果江干区18岁以上居民糖尿病患病率为19.32%;糖尿病知识的知晓率、治疗率和控制率分别为70.76%、84.30%和28.10%;年龄增大、肥胖以及糖尿病家族史是糖尿病发病的危险因素;随着年龄增加糖尿病患病率、血糖受损发生率增加(χ2=64.839、14.800,P<0.005),随着文化水平的增高糖尿病的患病率下降(χ2=35.475,P<0.001)。结论江干区居民糖尿病患病率较高,应采取有效措施加以控制。
Objective To understand the prevalence of diabetes in residents over 18 years of age in Jianggan District of Hangzhou City, analyze the risk factors and influencing factors, and propose preliminary control measures according to the above factors. Methods A multi-stage stratified and cluster sampling method was used to collect 885 residents over the age of 18 in Jianggan District for questionnaire survey and medical examination. Peripheral venous blood was collected for blood sugar level detection. Results The prevalence rate of diabetes was 19.32% in residents over 18 years of age in Jianggan District. The awareness rate, treatment rate and control rate of diabetes knowledge were 70.76%, 84.30% and 28.10% respectively. The age, obesity and family history of diabetes were the incidence of diabetes (Χ2 = 64.839, 14.800, P <0.005). With the increase of education level, the prevalence of diabetes decreased (χ2 = 35.475, P <0.001), and the prevalence of diabetes increased with age ). Conclusion The prevalence of diabetes in Jianggan district is high, and effective measures should be taken to control it.