新疆农村地区维吾尔族和哈萨克族人群糖尿病和空腹血糖受损患病率及其影响因素研究

发布时间：2018-03-06 01:01

本文选题：糖尿病　切入点：空腹血糖受损　出处：《石河子大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:掌握新疆农村地区维吾尔族和哈萨克族人群空腹血糖受损(impaired fasting glucose,IFG)和糖尿病(diabetes mellitus,DM)患病率及分布特征,探讨维吾尔族和哈萨克族人群DM影响因素,为少数民族糖尿病的预防和控制提供依据。研究方法:2009年-2010年采用分层整群随机抽样方法选取伊犁新源县那拉提镇、喀什伽师县江巴孜乡的维吾尔族及哈萨克族年龄≥18周岁以上的人群,共调查7261人(其中维吾尔族3342人,哈萨克族3919人)。现场进行面对面问卷调查并测量血压、身高、体重和腰围等,同时采集被调查者空腹血样,检测血糖、血脂等生化指标。采用SPSS20.0软件进行数据分析。结果:维吾尔族DM标化患病率为2.4%(男性:2.2%,女性2.6%),IFG标化患病率2.8%(男性:3.2%,女性2.3%);哈萨克族DM标化患病率为5.3%(男性:5.9%,女性:4.6%),IFG标化患病率9.3%(男性:10.1%,女性8.1%)。哈萨克族患病率均高于维吾尔族(?2DM=51.770,?2IFG=141.092,P0.001)。维吾尔族和哈萨克族DM及IFG患病率均随着年龄的增长而升高。维吾尔族男、女性DM及IFG患病率差异无统计学意义;哈萨克族男性DM标化患病率5.9%高于女性的4.6%(?2=10.639,P0.05),哈萨克族男性IFG患病率10.1%高于女性的8.1%(?2=13.162,P0.001)。超重及肥胖组,维吾尔族男、女性DM及IFG患病率差异均无统计学意义,哈萨克族肥胖组男性IFG患病率大于女性(?2肥胖=5.948,P0.05);超重及肥胖组,哈萨克族男、女性DM及IFG患病率均高于维吾尔族。多因素非条件logistic回归分析结果显示,65岁~组、肥胖、高血压为维吾尔族DM患病的危险因素;高年龄组、未婚/离婚/丧偶、高血压、血脂异常、超重肥胖、吸烟为哈萨克族DM患病的危险因素,女性为保护因素(OR值为0.702),哈萨克族男性患糖尿病分险高于女性。结论:维吾尔族和哈萨克族成人糖尿病患病率均低于全国水平,新疆农村地区哈萨克族糖尿病及空腹血糖受损患病率均高于维吾尔族。高年龄组、肥胖、高血压为维吾尔族和哈萨克族人群DM患病的危险因素。
[Abstract]:Objective: to investigate the prevalence and distribution of impaired fasting blood glucose (FBG) and diabetes mellitus (DM) in Uygur and Kazakh population in rural areas of Xinjiang, and to explore the influencing factors of DM in Uygur and Kazak population. Methods: from 2009 to 2010, stratified cluster random sampling method was used to select Nalati Town, Xinyuan County, Yili. A total of 7261 people (3342 Uygur and 3,919 Kazakh) aged more than 18 years old in Jiangbazi Township, Kashgar County, were investigated. A face to face questionnaire survey was conducted and blood pressure and height were measured. Body weight, waist circumference and so on. At the same time, fasting blood samples were collected and blood glucose was detected. Biochemical indexes such as blood lipids. The data were analyzed by SPSS20.0 software. Results: the standardized prevalence rate of DM in Uygur nationality was 2.4% (male: 2.2%, female 2.60%) (male: 3.2, female 2.33); Kazak DM standardized prevalence was 5.3 (male: 5.9, female). The standardized prevalence rate of IFG is 9.3% (male: 10.1, female 8.1). The prevalence of Kazakh is higher than that of Uygur? 2DMN 51.770? 2the prevalence rates of DM and IFG in Uygur and Kazakh increased with the increase of age. There was no significant difference in DM and IFG prevalence among Uygur males and females, and the DM standardized prevalence rate of Kazakh males was 5.9% higher than that of females? The prevalence of IFG in Kazakh males was 10.1% higher than that in females (8.1%). There was no significant difference in the prevalence of DM and IFG between Uygur males and females. The prevalence of IFG in obese Kazakh males was higher than that in females. 2 the prevalence of DM and IFG in overweight and obesity group, Kazak male and female were higher than that in Uygur nationality. The results of multivariate logistic regression analysis showed that obesity and hypertension were the risk factors of DM in Uygur nationality. High age group, unmarried / divorced / widowed, hypertension, dyslipidemia, overweight and obesity, smoking were risk factors of DM in Kazak nationality. The OR value of female was 0.7020.The risk of diabetes in Kazakh male was higher than that of female. Conclusion: the prevalence rate of diabetes in Uygur and Kazakh adults is lower than that in the whole country. The prevalence rates of diabetes and impaired fasting blood glucose in Kazak nationality were higher than those in Uygur nationality in rural area of Xinjiang. Obesity and hypertension were the risk factors of DM in Uygur and Kazakh population.
【学位授予单位】：石河子大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R587.1

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