杭州市上城区体检人群空腹血糖检测结果分析

Analysis of fasting blood glucose results from health examination people in Shangcheng district of Hangzhou

目的分析辖区内体检人群空腹血糖水平,为本地区街道社区卫生服务中心做好慢性病管理、健康教育工作提供依据。方法用己糖激酶法测定杭州市上城区2014年16 213例体检人群空腹血糖（FPG）水平,并对不同性别不同年龄组FPG平均水平及血糖异常情况进行统计分析。结果空腹血糖异常总检出率为33.63%,其中空腹血糖受损（IFG）检出率为20.22%,糖尿病疑似阳性检出率为13.41%。FPG的平均水平随年龄的增加呈上升趋势,男性FPG平均水平总体高于女性,差异具有统计学意义（P〈0.01）;男性在41岁～50岁、51岁～60岁以及61岁～70岁这3个年龄段IFG检出率高于同年龄段女性组,差异均具有统计学意义（P〈0.05）;男性在60岁以前糖尿病疑似阳性检出率明显高于同年龄段女性组,差异均具有统计学意义（P〈0.01）。结论该区FPG平均水平及血糖异常检出率高于某些省市调查结果,应通过健康教育等方式倡导科学的膳食和生活方式。

Objective To analyze fasting blood glucose（ FPG） level of the examination population in Shangcheng district,Hangzhou,so as to provide reference for the management of chronic diseases and health problem intervention. Methods FPG level of 16 213 samples from the examination population in the above mentioned area during 2014 was measured via the Hexokinase method,results were statistically analyzed based on different gender and age groups. Results The hyperglycemia percentage in the total population was 33. 63%,in which impaired fasting glucose（ IFG） and suspicious diabetes mellitus were 20. 22% and13. 41%,respectively. Average level of FPG increased in an age- dependent manner,but also it was significantly higher among males than among females,and the difference had statistical significance（ P〈0. 01）. The IFG percentage among males in the age group of 41- 50,51- 60 and 61- 70 was significantly higher than that of the females in the same age group,and the difference had statistical significance（ P〈0. 05）. Besides,a significantly higher percentage of suspicious diabetes mellitus was observed among the males less than 60 than that of the females in the same age group,and the difference had statistical significance（ P〈0. 01）. Conclusion The average FPG level as well as the percentage of hyperglycemia of the examination population in this region were higher than those in other reported regions. It is necessary to advocate a balanced diet and healthy lifestyle via health management programs.