皖南地区居民3799例空腹血糖检测结果的分析

Fasting blood glucose test results of the analysis in 3799 cases of the residents of southern Anhui

目的研究、了解皖南泾县地区居民近年糖尿病(DM)和糖尿病前期(IFG)患病率;比较WHO(1999/1985)DM两诊断标准的临床价值,为糖尿病的预防和控制提供参考资料。方法选取泾县医院健康体检中心2011年1月~6月完成健康体检的3799例无糖尿病史体检者的FPG检测资料进行统计学研究和分析;血浆葡萄糖检测采用葡萄糖氧化酶终点比色法。结果 WHO(1999/1985)DM诊断标准3799例空腹血糖DM/IFG的检出率分别为7.89%/17.76%和3.95%/21.71%;男性和女性两组间FPG≥6.10mmol/L检出率、IFG检出率、DM(WHO1999/1985)检出率的统计学处理结果,χ2值分别为0.00、1.15、2.61、4.52;除WHO(1985)DM诊断标准(FPG≥7.80mmol/L)男性和女性两组间χ2值为4.52,P【0.05外,其他3项统计学结果均P】0.05。根据年龄分组,WHO(1999)DM诊断标准FPG≥7.00mmol/L各个年龄组的糖尿病(DM)阳性检出率分别为:0.017、0.029、0.063、0.108、0.149;列联表χ2=10.16;P【0.05。WHO(1999)FPG≥7.00mmol/L诊断标准与WHO(1985)FPG≥7.80mmol/L诊断标准比较,糖尿病(DM)阳性者增加了150例,其占糖尿病(DM)阳性检出例数的50.00%(150/300);受检者总体糖尿病(DM)阳性检出率提高了3.95%(150/3799)。结论应用WHO(1999)诊断标准,本地区居民糖尿病(DM)患病率为7.89%(300/3799)。糖尿病前期患病率为17.76%(675/3799)。其中:男性糖尿病患病率为8.50%(182/2136),糖尿病前期患病率17.20%(367/2136);女性糖尿病患病率为7.10%(118/1663)、糖尿病前期患病率为19.50%(308/1663)。性别在糖尿病发病因素中无显著意义,DM诊断标准不同,其检测结果有所差异;但是,自然人群糖尿病的患病率有随年龄增长呈逐渐增高的趋势。应用WHO(1999)FPG标准对自然人群中DM的筛检和存在DM发病高危因素者的监测,具有简便易行,经济实用的优点。

Objective understanding the southern Anhui Jingxian area residents in recent years, prevalence of diabetes mellitus(DM) and pre-diabetes(IFG);(1999/1985) compare the WHO, the clinical value of the the DM two diagnostic standard reference for the prevention and control of diabetes. Method select Jingxian Hospital Health Examination Center in January 2011to complete health examination in June 3799 cases no history of diabetes, physical examination by the FPG test data for statistical research and analysis; plasma glucose detection using a glucose oxidase endpoint colorimetric. Results WHO(1999/1985) DM diagnostic criteria for 3799 cases fasting glucose detection rate of DM / IFG were 7.89% / 17.76% and 3.95% / 21.71%; between the two groups of men and women FPG ≥ 6.10mmol / L detection rate, IFG detection rate of DM(WHO1999/1985) detection rate statistically results, χ2values were 0.00,1.15,2.61,4.52 men; In addition to the WHO(1985) DM diagnostic criteria(FPG≥7.80mmol / L)the results of the other three statistically and women between the two groups χ2value 4.52, P <0.05, all P> 0.05.According to the age group, WHO(1999) DM diagnostic criteria FPG ≥ 7.00 mmol / L in all age groups of diabetes mellitus(DM)positive rates were as follows: 0.017,0.029,0.063,0.108,0.149; contingency table χ2 = 10.16; P<0.05. WHO(1999) FPG ≥ 7.00mmol / L diagnostic criteria and the WHO(1985), FPG ≥7.80 mmol / L diagnostic criteria for diabetes mellitus(DM) increased positive 150 cases, and its share of positive detection of diabetes mellitus(DM) the number of cases 50.00%(150/300); the subjects overall diabetes mellitus(DM) the positive rate of 3.95%(150/3799). Conclusion The application of WHO(1999) diagnostic criteria, the residents of diabetes mellitus(DM) prevalence rate of 7.89%(300/3799). Pre-diabetes prevalence was 17.76%(675/3799). Including: male diabetes prevalence was 8.50%(182/2136), prediabetes prevalence of 17.20%(367/2136); a woman with diabetes prevalence was 7.10%(118/1663), pre-diabetes prevalence was 19.50%(308/1663). Gender factors in the incidence of diabetes significance DM diagnostic criteria, and their test results vary; However, the natural population prevalence of diabetes with increasing age was gradually increased. Application of WHO(1999) FPG standards for the natural population screening and the presence of high risk factors by DM DM monitoring, simple, economic and practical advantages.