合肥某社区40岁以上人群糖代谢异常患病情况及相关因素研究

Glycometabolic abnormalities and the related factors of the 40 years or older group in a community of Hefei

目的调查某地区糖代谢异常人群患病率,并分析糖代谢异常的相关因素。方法设计同意表格,调查某社区内的40岁以上常住人口,统计糖代谢异常患病率,并分析糖代谢与年龄、性别、吸烟、饮酒、喝茶、收缩压、舒张压、血肌酐、尿素氮、甘油三酯、胆固醇、高密度脂蛋白、低密度脂蛋白、谷丙转氨酶、谷草转氨酶、γ谷氨酰转肽酶等,糖化血红蛋白等的关系。结果糖尿病患病率为15.11%,糖耐量异常(IGT)患病率为16.68%,空腹血糖受损(IFG)患病率为5.19%,糖代谢异常患病率为36.97%。糖代谢异常糖调节异常的危险因素为年龄组、收缩压、糖化血红蛋白、甘油三酯、谷丙转氨酶、γ谷氨酰转肽酶,有统计学意义(P<0.05)。结论合肥地区糖代谢异常发生率较高。增龄、收缩压、糖化血红蛋白、甘油三酯、谷丙转氨酶、γ谷氨酰转肽酶等是糖尿病的主要危险因素,提示:高血糖、高血压、高血脂、肝酶异常以及中、老年人群是社区干预的重点对象。

Objective To investigate the morbidity rate of glycometabolic abnormalit crowd in a certain area and to analyze the glyco- metabolic abnormality related factors. Methods We designed agreed form and survey permanent population 40 year old or older in the community,then made statistical analysis of glycometabolic abnormality prevalenced, and analyzed the relationship between the glyco- metabolic abnormality and age, sex, smoking, alcohol consumption, drinking tea, SBP, DBP, Cr, BUN, TG, TC, HDL-C, LDL, ALT, AST, GGT, GHbA1 C. Results The prevalence rate of diabetes was 15.11% , impaired glucose tolerance （IGT）prevalence rate 16.68% , the impaired fasting glucose（IFG） prevalence rate 5.19% , glycometabolic abnormalit prevalence rate 36.97% , respectively. Glycometabolic abnormalit adjustment and metabolic abnormalities risk factors were age group, SBP, GHbA1 C, TG, ALT, GGT, which had statistically sig- nificant difference（P 〈 0.05 ）. Conclusion Incidences of glycometabolic abnormality are higher in Hefei. Increasing age, SBP, GH- bA1 C ,TG, ALT, GGT are main risk factors, which indicate that the group of high blood glucose, high blood pressure, high blood fat, liver enzymes abnormal and the elderly are the major intervention objects in the community.