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韓國人 糖尿病患者의 疫學的 硏究

Epidemiological Study on Diabetics in Korea

공중보건잡지 1969년 6권 1호 p.164 ~ 177
최우길 (  ) - 서울대학교 보건대학원

Abstract


An Epidemiological study was carried on diabetic patients registered in "Diabetic Clinic" in Seoul National University Hospital during the period of 1956~1957.
In conjuction of distribution, dynamics and laboratory findings was investigated toward the cases.
The study disclosed the following facts:
1. Sex ratio was 221(M) : 100(F).
2. The average age of registered cases was 49.2±10.9 years and there was no significant difference between two sexes.
3. The average age of the onset was 46.5±10.3 years and there was no obvious difference between two sexes.
4. Average duration from the onset to registration was 3 years.
5. Most cases registered were born in Seoul and the others had birth-place throughout the nation.
6. 57.6% of the cases lived in Seoul at the time of registration, and in 63.6% they inhabited in the area of Chongno-ku, Sungbuk-ku, Dongdaemun-ku and Songdong-ku.
7. Most cases had occupation which needed less physical activity. Female cases had no occupation in 61.7%.
8. 14.7% of the cases had history of pulmonary tuberculosis, 14.5% of typhoid fever, 12.3% of steroids abuse.
9. 22.6% of the cases had been treated before registration.
10. The maximum body weight of the cases before the onset was overweighted as 18.4% of the ideal body weight and as 24.2% of the body weight at the time of registration in males, and as 15.6% and 13.0% in females(p<0.003)
11. It was state by the patients that 10.1% of cases had diabetic blood-relatives.
12. Etiologically contributing factors stated were obsity, heredity, abuse of steroids, in 27.4%, 10.1% and 5.6%. It was impossible, however, to identify contributing factors in 49.3% of the cases.
13. 61.6% of the cases dignosed within 6 months after initial subjective symptoms.
14. Early subjective symptoms were thrist, neuralgia and sensory changes, general weakness and fatigue, polyphagia and polyuria, in 62.6%, 41.3%, 33.5% and 30.5%
15. The frequent complications were dental disese in 17.6%, retinopathy in 12.7%, and pulmonary tuberculosis in 12.0%,
16. 17.4% of the cases had no symptoms at the time of diagnosis.
17. The hospital incidence of diabetes mellitus in Seoul National University Hospital was 2.2 per 1,000 regiestered patients during the study period.
18. Sensitively of ?? was 63.7% in fasting state and 99.6% in 2 hours postprandial urine sugar.
19. The blood-sugar level showed increasing tendency along the age(unimodal pattern) and it revealed obvious difference between age groups(r=0.124, p<0.0027)

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