空腹血糖和糖化血红蛋白联合检测在健康体检中的应用研究

Application of the combined detection of fasting plasma glucose and glycosylated hemoglobin in physical examination

目的：探讨空腹血糖（FPG）和糖化血红蛋白（HbAlc）水平联合检测在健康体检中的应用价值。方法：选择263名健康体检者作为研究对象，分别检测其FPG和HbAlc水平，对两者进行相关性分析。结果：263例中HbAlc〈5．5％者139例，5．5％-6．5％者88例，〉6．5％者36例。HbAlc〉6．5％体检者FPG均明显高于HbAlc〈5．5％和5．5％～6．5者（P〈0．01）。相关分析显示，263名研究对象的HbAlc水平与FPG之间呈正相关关系（P〈0．01）。结论：FPG和HbAlc联合检测在健康体检中对糖尿病的筛查有重要价值，适宜在实际工作中推广应用。

Objective ：To investigate the value of the combined detection of fasting plasma glucose （FPG） and glycated hemoglobin Alc（HbAlc） in physical examination. Methods： The levels of FPG and HbAlc in 263 healthy people were detected, and their correlations were analyzed. Results： Among the HbAlc level of 263 healthy people, 139 cases was less than 5.5%, 88 cases was between 5.5% and 6.5% and 36 cases was more than 6.5%. FPG level of the physical examination people with HbAlc level higher than 6.5% was significantly higher than that of the HbAlc level less than 6.5% and between 5.5% and 6.5% （ P 〈 0.01 ）. Pearson product moment correlation analysis showed that the level of HbA1 c was positive correlation with FPG （P 〈 0. 01 ）. Conclusions：The combined detection of HbA1 c and FPG in healthy physical examination has important value in screening diabetes, which is worthy to be popularized.