本文選題：糖尿病　切入點(diǎn)：空腹血糖受損　出處：《石河子大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:掌握新疆農(nóng)村地區(qū)維吾爾族和哈薩克族人群空腹血糖受損(impaired fasting glucose,IFG)和糖尿病(diabetes mellitus,DM)患病率及分布特征,探討維吾爾族和哈薩克族人群DM影響因素,為少數(shù)民族糖尿病的預(yù)防和控制提供依據(jù)。研究方法:2009年-2010年采用分層整群隨機(jī)抽樣方法選取伊犁新源縣那拉提鎮(zhèn)、喀什伽師縣江巴孜鄉(xiāng)的維吾爾族及哈薩克族年齡≥18周歲以上的人群,共調(diào)查7261人(其中維吾爾族3342人,哈薩克族3919人)�，F(xiàn)場(chǎng)進(jìn)行面對(duì)面問(wèn)卷調(diào)查并測(cè)量血壓、身高、體重和腰圍等,同時(shí)采集被調(diào)查者空腹血樣,檢測(cè)血糖、血脂等生化指標(biāo)。采用SPSS20.0軟件進(jìn)行數(shù)據(jù)分析。結(jié)果:維吾爾族DM標(biāo)化患病率為2.4%(男性:2.2%,女性2.6%),IFG標(biāo)化患病率2.8%(男性:3.2%,女性2.3%);哈薩克族DM標(biāo)化患病率為5.3%(男性:5.9%,女性:4.6%),IFG標(biāo)化患病率9.3%(男性:10.1%,女性8.1%)。哈薩克族患病率均高于維吾爾族(?2DM=51.770,?2IFG=141.092,P0.001)。維吾爾族和哈薩克族DM及IFG患病率均隨著年齡的增長(zhǎng)而升高。維吾爾族男、女性DM及IFG患病率差異無(wú)統(tǒng)計(jì)學(xué)意義;哈薩克族男性DM標(biāo)化患病率5.9%高于女性的4.6%(?2=10.639,P0.05),哈薩克族男性IFG患病率10.1%高于女性的8.1%(?2=13.162,P0.001)。超重及肥胖組,維吾爾族男、女性DM及IFG患病率差異均無(wú)統(tǒng)計(jì)學(xué)意義,哈薩克族肥胖組男性IFG患病率大于女性(?2肥胖=5.948,P0.05);超重及肥胖組,哈薩克族男、女性DM及IFG患病率均高于維吾爾族。多因素非條件logistic回歸分析結(jié)果顯示,65歲~組、肥胖、高血壓為維吾爾族DM患病的危險(xiǎn)因素;高年齡組、未婚/離婚/喪偶、高血壓、血脂異常、超重肥胖、吸煙為哈薩克族DM患病的危險(xiǎn)因素,女性為保護(hù)因素(OR值為0.702),哈薩克族男性患糖尿病分險(xiǎn)高于女性。結(jié)論:維吾爾族和哈薩克族成人糖尿病患病率均低于全國(guó)水平,新疆農(nóng)村地區(qū)哈薩克族糖尿病及空腹血糖受損患病率均高于維吾爾族。高年齡組、肥胖、高血壓為維吾爾族和哈薩克族人群DM患病的危險(xiǎn)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.
【學(xué)位授予單位】：石河子大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R587.1

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本文編號(hào)：1572632