中国全科医学2013，Vol.16Issue(12)：1369-1372,4.DOI:10.3969/j.issn.1007-9572.2013.04.090
成都市城乡中老年人糖调节受损合并心血管危险因素的横断面调查研究
A Cross-sectional Study in Patients with Impaired Glucose Regulation Complicated by Cardiovascular Risk Factors in Chengdu
摘要
Abstract
Objective To investigate the current status in patients with impaired glucose regulation ( IGR ) complicated by cardiovascular risk factors and compare differences between urban and rural areas in Chengdu. Methods A total of 2 032 patients between 35 ~70 years old from urban and rural communities ( 1 015 and 1 017 respectively ) were selected by randomly cluster sampling method. Questionnaires survey, physical examination and laboratory tests were used. Results The IGR prevalence was 32. 5% ( 660/2 032 ) . Comparation of IGR prevalence between men and women was not significantly different [ 32. 0% ( 266/830 ) and 32. 8% ( 394/1 202 ), x2 = 0. 119 , P = 0. 730 ] . Comparation of IGR prevalence between city and rural areas was not significantly different [ 32. 2% ( 327/1 015 ) and 32. 7% ( 333/1 017 ), x2 =0.064, P =0. 800 ] . The smoking status of urban and rural IGR crowd was different, at the same time, urban IGR population's hypertension, elevated low density lipoprotein cholesterol ( LDL - C ) and triglycerides ( TG ), dyslipidemia, overweight or obesity detection rate increased significantly and prehypertension detection rate decreased significantly ( P < 0. 05 ), compared with rural IGR population; no significant differences in drinking situation and high density lipoprotein cholesterol ( HDL - C ) lower detection rate between the two sets were observed ( P > 0. 05 ) . The smoking and drinking status of urban and rural male IGR population was different, urban male IGR population's hypertension, LDL - C rise, dyslipidemia, overweight or obesity detection rate increased significantly , prehypertension detection rate decreased significantly ( P < 0. 05 ); no significant differences in TG rise, HDL - C lower detection rate between the two groups were observed ( P > 0. 05 ) . The smoking and drinking status of urban and rural female IGR population was different, urban female IGR population's TG rise, dyslipidemia detection rate increased significantly, hypertension and prehypertension, LDL - C rise detection rate decreased significantly ( P < 0. 05 ); HDL - C reduction, overweight or o-besity detection rate of two groups had no statistical significance ( P > 0. 05 ) . Conclusion In urban IGR males, hypertension, dyslipidemia, overweight/obesity are the major cardiovascular risk factors for intervention. Smoking, drinking and prehypertension are more important for rural IGR males. In urban IGR females, dyslipidemia is the major cardiovascular risk factors for intervention. Smoking, drinking, hypertension and prehypertension are more important for rural IGR females.关键词
糖调节受损/危险因素/城市/农村Key words
Impaired glucose regulation/ Risk factors/ Cities/ Rural分类
医药卫生引用本文复制引用
廖晓阳,周新平,赵茜,代华,邓宏宇,李双庆,张廷杰..成都市城乡中老年人糖调节受损合并心血管危险因素的横断面调查研究[J].中国全科医学,2013,16(12):1369-1372,4.基金项目
四川省卫生厅基金项目(080273,090324) （080273,090324）
