上海市长宁区糖尿病高危人群筛查结果分析

目的 利用长宁区糖尿病高危人群的血糖筛查结果数据，分析长宁区糖尿病高危人群中糖尿病和糖调节受损的检出率，分析影响高危人群中糖尿病和糖调节受损的危险因素，为加强社区糖尿病防治力度提供参考依据。方法 收集糖尿病高危人群的基本信息、糖尿病危险因素及相关症状、体格检查数据及血糖数据进行统计分析。结果 2016 - 2017年，12 567名糖尿病高危人群中共检出糖尿病1 171人，糖调节受损者1 547人，检出率分别为9.3%、12.3%。多因素logistic回归分析发现，高龄（OR:1.032，95%CI:1.026～1.038）、男性（OR:1.161，95%CI:1.036～1.301）、低学历（P＜0.05）、糖调节受损史（OR: 6.257，95% CI:4.756～8.232）、亲属患2型糖尿病（OR: 1.388，95% CI:1.169～1.649）、高血压（OR: 1.463，95% CI:1.268～1.688）和体型超重/肥胖（OR: 2.228，95% CI: 1.940～2.559）是血糖代谢障碍的独立预测因素；高龄（OR:1.040，95% CI:1.035～1.045）、男性（OR:1.361，95% CI:1.224～1.581）、低学历（P＜0.05）、糖调节受损史（OR: 2.644，95% CI:1.949 ～3.586）、亲属患2型糖尿病（OR: 1.417，95% CI:1.217～1.650）、高血压（OR: 1.360，95% CI:1.199 ～1.543）、血脂异常（OR = 1.208，95% CI:1.019～1.432）、一过性类固醇糖尿病史（OR = 2.397, 95% CI:1.195～4.807)、长期静坐生活方式（OR = 2.542，95% CI:1.376～4.699）以及体型超重/肥胖（OR: 1.975，95% CI:1.754～2.224）是检出糖尿病的独立预测因素。结论 长宁区糖尿病高危人群的糖尿病和糖调节受损检出率较高。在高危人群中筛查，能使超过五分之一的血糖异常者得到早期诊断，应持续开展此项工作。

Analysis of screening results of high-risk diabetes patients in Changning district in Shanghai

Abstract: Objective Based on the data of blood glucose screening in high-risk population of diabetes in Changning District, the detection rate of diabetes and impaired glucose regulation in high-risk population of diabetes were analyzed, and the risk factors affecting impaired diabetes and impaired glucose regulation in high-risk population were analyzed, which provided a reference for strengthening the prevention and treatment of diabetes. Methods The basic information, risk factors and related symptoms of diabetes, physical examination data and blood sugar data of high-risk groups of diabetes were collected for statistical analysis. Results From 2016 to 2017, 1171 diabetes and 1547 impaired glucose regulation were detected in 12567 high-risk diabetic population, with the detection rates of 9.3% and 12.3% respectively. Multivariate logistic regression analysis showed that the elderly (OR: 1.032, 95%CI: 1.026-1.038), male (OR:1.161, 95%CI:1.036-1.301), low education (P<0.05), history of impaired glucose regulation (OR: 6.257, 95% CI: 4.756-8.232), family history of type 2 diabetes mellitus (OR: 1.388, 95%CI: 1.169-1.649), hypertension (OR: 1.463, 95% CI: 1.268-1.688) and overweight/obesity (OR: 2.228, 95% CI: 1.940-2.559) were independent predictors of impaired glucose regulation the elderly (OR:1.040, 95% CI: 1.035-1.045), male (OR:1.361, 95% CI:1.224-1.581), low education (P<0.05), history of impaired glucose regulation (OR: 2.644, 95% CI: 1.949 -3.586), family history of type 2 diabetes mellitus (OR: 1.417, 95% CI: 1.217-1.650), hypertension (OR: 1.360, 95% CI: 1.199 -1.543), dyslipidemia(OR=1.208, 95% CI: 1.019-1.432), transient steroid diabetes history (OR=2.397, 95% CI:1.195-4.807), long-term sedentary lifestyle (OR=2.542, 95% CI: 1.376-4.699) and overweight/obesity (OR: 1.975, 95% CI: 1.754-2.224) were independent predictors of diabetes. Conclusion The detection rate of diabetes and impaired glucose regulation in high-risk population of diabetes in Changning District is higher. Screening in high-risk groups can make more than one fifth of people with abnormal blood sugar get early diagnosis, and this work should be continued.