非内分泌专科住院患者2020例糖代谢状况调查

目的调查非内分泌专科住院患者2020例糖代谢状况。方法选取2010年11月1日至12月30日非内分泌科的住院成人患者为研究对象，共收集病历2020例，通过收集和分析患者住院期间血糖、糖化血红蛋白等，评判非内分泌专科患者糖代谢状况。各组间率比较采用）（。检验，各组间均数比较采用t检验。结果非内分泌专科糖尿病检出率为14．2％，糖尿病与空腹血糖受损的检出率为40．8％，在院非内分泌科患者空腹血糖检测率为87．7％，餐后2h血糖检测率为1．4％，糖化血红蛋白检测率为10．0％，糖尿病患者糖化血红蛋白检测率为25．8％。在非糖尿病患者中入院后新诊断糖尿病患者占1．5％，查空腹血糖≥5．6mmol／L但未进行下一步诊断者占26．6％。按年龄分层（430岁、〉30—45岁、〉45—65岁、≥65岁），随着年龄的增长糖尿病检出率逐渐增加，差异有统计学意义（χ^2=92．08，P〈0．01），≥65岁者检出率达22．2％。按有无心脑血管疾病分层，有心脑血管疾病者糖尿病检出率为22．9％，无心脑血管疾病者的检出率为10．4％，两组比较差异有统计学意义（X。=54．55，P〈0．01）。结论非内分泌专科住院患者糖尿病、糖代谢异常检出率高，但患者多未行葡萄糖耐量试验，可能存在糖尿病及糖代谢异常漏诊。

Survey on glucose metabolism in 2020 cases of non-endocrinology inpatients

Objective To investigate the glucose metabolism in 2020 patients of non-endocrinology department. Methods All adult inpatients of non-endocrinology department were recruited from November 1 to December 30 in 2010. A total of 2020 patients＇ records were included in this study. Fasting blood glucose （FBG） , 2-hour postprandial blood glucose （2 h PBG） and glycated hemoglobin Alc （HbAle） of the patients during hospitalization were collected to judge the glucose metabolism. Average data between two groups were compared by independent-samples t test, the fi＇equency in different groups was evaluated by χ2 test. Results The detection rate of diabetes in non-endocrinology department was 14. 2%, and the detection rate of diabetes and impaired fasting plasma glucose, FBG, 2 h PBG, HbAlc was 40. 8% , 87.7% , 1.4% , 10. 0% ,respectively, in inpatients of non-endocrinology department. The detection rate of HbAlc in diabetic patients was 25.8%. Of the 2020 inpatients, 1.5% were diagnosed with diabetes after being admitted to the hospital. Patients with a FBG I〉5.6 mmol/L but received no further diagnosis amounted to 26.6%. When the patients were grouped according to the age（ ≤30, 〉30-45, 〉45-65, ≥65 years）, the detection rate of diabetes increased with the age and there were statistical differences between the groups （χ2 = 92. 08, P 〈 0.01 ） . The detection rate of diabetes was 22. 9% in patients complicated with cardiovascular, the rate was 10. 4% in patients without （ X2 = 54. 55, P 〈 0. 01 ） . Conclusion The detection rate of diabetes and abnormal glucose metabolism in non-endocrinologic inpatients is high, but most of the patients don＇ t receive glucose tolerance test, so the diabetes and abnormal glucose metabolism may be missed diagnosed.