摘要
目的了解浙江省居民糖尿病的发病特征，为糖尿病的防控政策制定提供依据。方法对2007至2012年浙江省30个县区居民糖尿病监测资料进行描述性分析。结果2007至2012年浙江省慢性病监测信息系统共报告糖尿病新发个案272534例，其中1型糖尿病占0．69％，2型糖尿病占96．04％，妊娠糖尿病占2．23％，其他类型糖尿病占1．03％。平均年报告发病率为277．08／10万，城市高于农村，女性高于男性。糖尿病报告卡发病率以年均20．18％的速度递增，农村地区增长速度高于城市，男性增速高于女性。70-岁组的糖尿病报告发病率最高，20-岁组糖尿病报告发病率最高增长速度最快。11．89％的糖尿病病例在确诊时同时伴有并发症，神经病变、血管病变与。肾脏病变占到所有并发症的82．81％，2007至2012年浙江省糖尿病并发症发病率呈先增高后降低趋势。结论随着浙江省人口结构的老龄化，糖尿病发病率逐年增高，农村地区、男性、30岁以下青少年人群应成为未来糖尿病防制的重点。糖尿病并发症发病率虽有下降趋势，但结果还需要进一步的研究来验证。
Objective To study the epidemiological characteristics of diabetes, and to provide effective prevention and intervention strategies for diabetes in Zhejiang Province. Methods Descriptive epidemiological method was used to analyze the surveillance data of diabetes from 2007 to 2012. Results 272 534 cases of new on-set diabetes were reported through the noncommunicable disease surveillance system in Zhejiang Province from 2007 to 2012, and the annual incidence was 277.08/100 000. According to different types of diabetes, the proportions of type 1, type 2, gestational, and other types diabetes were 0.69%, 96.04%, 2.23% , and 1.03%, respectively. The incidence was higher in urban and female population. The diabetes incidence was increased with 20.18% per year and the growing speed of incidence in rural area and males were faster than those in urban area and females, respectively. The incidence in 70-year group was the highest and the growth speed in 20-year group was the fastest one. 11.89% of diabetes patients were diagnosed with complications simultaneously and the proportion of diabetic neuropathy, vasculopathy, and nephropathy was accounted for 82.81%. The incidence of diabetic complications was increased at first and then decreased from 2007 to 2012. Conclusion With the aging trends in Zhejiang province, the incidence will be increased rapidly, and the rural, male, and adolescence populations should be the focus objectives for the diabetes prevention and control in the future. Although the trend of diabetic complications incidence was tended to decline, the result should be confirmed by further researches.
出处
《中华内分泌代谢杂志》
CAS
CSCD
北大核心
2015年第10期846-850,共5页
Chinese Journal of Endocrinology and Metabolism
基金
基金项目：中华医学会临床医学科研专项（13040530438）
关键词
糖尿病
发病率
浙江省
并发症
Diabetes mellitus
Incidence
Zhejiang Province
Complications.
