维吾尔族糖尿病及糖调节受损患者体格生化指标分析

目的探讨维吾尔族糖尿病及糖调节受损患者体格、生化指标之间的差异。方法采用整群抽样的方法,横断面调查乌鲁木齐市6个维吾尔族居民较集中的社区40岁以上的常住居民529人,从中选择可疑人群191人,通过对其进行口服葡萄糖耐量试验将其分成两组,即2型糖尿病组和糖调节受损组,对其进行体格及生化指标的检测。结果本研究中维吾尔族糖尿病检出率为17.39%,糖调节受损检出率为7.56%。体格指标腰臀比、腹围、腰围在糖尿病男性组与糖调节受损男性组之间存在统计学差异,其余指标未见差异。糖尿病患者组与糖调节受损组之间的糖化血红蛋白值、血清胰岛素水平差异有统计学意义,血脂四项和肾功三项检测值均无统计学差异。结论此次研究发现维吾尔族糖尿病患者可能对与腹型肥胖有关的指标较为敏感;另外,维吾尔族糖尿病患者和糖调节受损患者对血糖的控制不佳,其并发症检出率也相对较高,因此,今后应在社区多开展对糖尿病高危人群的糖尿病筛查,更有效地开展健康知识宣教及行为干预.

STUDY ON ANTHROPOMETRIC AND BIOCHEMICAL INDICATORS OF PATIENTS WITH DIABETES AND IMPAIRED GLUCOSE REGULATION IN UYGUR

Objective To investigate the differences of anthropometric and biochemical indicators between male patients of type 2 diabetes and impared glucose regulation(IGR)in the Uygur nationality.Method A cross-sectional study was conducted for 529 subjects>40 years old in 6 Uygur communities of Urumqi.The multi-phasic stratified cluster sampling method was adopted.Finally 191 men with high risk were selected as samples in the study and classified into two groups according to oral glucose tolerance test(OGYr)results,anthropometric and biochemical indicators.Results The prevalence of type 2 diabetes and IGR was 17.39% and 7.56% respectively in the Uygur nationality.Waist-hip ratio.abdominal and waist circumference,the level of HbAlc and serum insulin of male diabetic patients were significantly higher than those of male IGR potieuts.But another four indicators of blood lipid and three indicators of renal function were not significantly different between two groups.Conclusion The indicators releted to abdominal obesity may be sensitive to diabetes and valuable to screen diabetic patients for giving effective health education and behavioral intervention in high risk population.