2型糖尿病及糖尿病高危状态的调查及干预分析

Investigation and Intervention of Patients with Type 2 Diabetes and High Risk Status of Diabetes

目的对中山市石岐区老年人2型糖尿病及糖尿病高危状态进行流行病学调查,研究干预的有效性。方法采用流行病学现场调查方法获取有关信息,自2011年1月至2012年6月,对55岁以上人群进行2型糖尿病和糖尿病高危因素筛查,并对筛查的不同人群进行不同干预措施。结果 2844例中,2316例获得随访,随访时间9～15个月,平均1年。之前对糖耐量检查结果及HbA1c正常的患者获得随访510例,新发糖尿病22例;糖尿病高危状态患者1374例获得随访,新发糖尿病106例;糖尿病患者432例获得随访,大部分患者血糖控制良好,出现病情恶化或严重不良反应者18例。结论对中老年人群2型糖尿病及糖尿病高危状态的流行病学调查非常重要,加强干预是减少新发病例,提高糖尿病患者预后的关键。

Objective To explore the effectiveness of intervention through the epidemiological survey of eldedy patients with type 2 diabetes and high risk status of diabetes in Shiqi district of Zhongshan city. Methods Epidemiological field investigations were carried out to receive relevant information of patients （over 55 years old） with type 2 diabetes or high risk status of diabetes from June 2007 to December 2010. Different interventions were taken in different populations. Results 2 316 eases were followed up for up for 9 to 15 months, with an average of one year. 510 patients with normal glucose tolerance test results and HbAlc were followed up with 22 cases of new-onset diabetes; 1 374 patients with high risk status of diabetes were followed up with 106 cases of new-onset diabetes; 432 patients with type 2 diabetes were followed up with most cases of good glycemic control, and 18 cases of deteriorated condition or serious adverse reaction. Conclusions Epidemiological survey of elderly patients with type 2 diabetes or high risk status of diabetes is important, and the key to improve the prognosis of patients with diabetes is to strengthen the intervention.