老年干部糖尿病患病率及影响因素

The prevalence of diabetes mellitus and its impact factors in elder cadres

目的：研究老年糖尿病的患病率及影响因素。方法：用１００ｇ馒头餐为筛选试验，结合７５ｇＯＧＴＴ确诊的方案，对１９５４名老年及老年前期（５０岁以上）干部进行糖尿病普查。结果：①１９５４人中糖尿病总患病率为１１．１％，糖耐量异常（ＩＧＴ）总患病率为１７．７％。糖尿病患病率在老年前期为６．７％，老年人群为１３．４％。糖尿病和ＩＧＴ人群中肥胖、高脂血症、高血压、冠心病的患病率均高于糖耐量正常人群。②普查新诊断的糖尿病患者占５４．４％，新诊断的ＩＧＴ占９９．７％；新诊断糖尿病患者中空腹血糖正常者占５８％。③以１００ｇ馒头餐后血糖≥７．２ｍｍｏｌ／Ｌ为筛选标准，糖尿病漏诊率低，仅约３．４％的ＩＧＴ会漏诊。结论：本组老年干部中糖尿病患病率高。普查是糖尿病早诊断、早防治的必要措施，老年人对１００ｇ馒头餐的耐受性好，以≥７．２ｍｍｏｌ／Ｌ为筛选标准，漏诊率低。

Objective:To evaluate the prevalence of diabetes mellitus and its impact factors in the elder cadres. Methods: 1954 elder cadres were investigated by checking blood glucose 2 hours after taking 100 g steamed bun for screening, and combining with 75 g OGTT for diagnosis.Results: 1. As a whole, the prevalence of diabetes was 11.1% and 17.7% for impaired glucose tolerance (IGT) 2. 54.4% of diabetics and 99.7% of IGT patients were newly diagnosed in this screen. Normal fasting blood glucose was found about 58% in the newly diagnosed diabetics. 3. 100g steamed bun test was well tolerated in old population. Conclusion: The prevalence of diabetes and IGT in old cadres is rather high in our study. The general survey for diabetes is necessary for early diagnosis and treatment in old patients with the criterion of blood glucose ≥ 7.2 mmol/L 2 hours after taking 100g steamed bun.