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社区糖调节受损人群的筛查与危险因素调查
引用本文:唐唯岚.社区糖调节受损人群的筛查与危险因素调查[J].中国卫生资源,2013(4):281-283.
作者姓名:唐唯岚
作者单位:上海市黄浦区外滩街道社区卫生服务中心,上海200001
摘    要:目的:了解社区人群中糖调节受损(IGR)患病情况,并对相关的危险因素进行分析。方法:通过整群随机抽样方法,抽取年龄≥45岁以上常住居民进行问卷调查,对筛查出的1313例高危人群进行体格检查、空腹血糖及口服75g无水葡萄糖耐量试验和血压、血脂检测,采集调查人群中糖调节受损患病情况和危险因素。结果:血糖升高(IFG)、糖耐量减低(IGT)和糖调节受损(IGR)的患病率分别为1.07%、8.15%、1.66%,且年龄、血压、血脂、肥胖、家族史、心血管病史等危险因素明显高于正常血糖人群。讨论:早期发现糖调节受损人群,并及早针对危险因素实施干预措施对预防糖尿病和并发症的发生具有重大意义。

关 键 词:葡萄糖调节受损  高危人群筛查  危险因素

The screening and the related risk factors analysis of impaired glucose regulation patients at the community level
TANG Wei-lan.The screening and the related risk factors analysis of impaired glucose regulation patients at the community level[J].Chinese Health Resources,2013(4):281-283.
Authors:TANG Wei-lan
Institution:TANG Wei-lan ( Waitan Community Health Service Center, Shanghai 200001, China )
Abstract:Objective: To explore the prevalence rate of impaired glucose regulation in community and to analyze their related risk factors. Methods: Residents aged 45 years old and above were selected through cluster random sampling and investigated with questionnaire. One thousand three hundred and thirteen high-risk persons screened out were tested on the physical examination, fasting blood-glucose (FBG), oral glucose tolerance test ( OGTT ), blood pressure and blood grease. Information of the prevalence and the risk factors of the population were also collected. Results: The prevalence rate for impaired glucose regulation was 1.07% for impaired fasting gloucose ( IFG ); 8.15% for impaired gloucose tolerance ( IGT ); 1.66% for combination of IFG and IGT. It was found that age, blood pressure, blood fat, obesity, family history, cardiovascular disease were the risk factors, significantly higher than those of normal blood sugar crowd. Conclusion: The early detection of impaired glucose regulation and the early intervention measures of the risk factors are of great significance for the prevention of diabetes and its complications.
Keywords:impaired glucose regulation  screening of high-risk groups  risk factors
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