上海某社区高危人群糖尿病筛查结果分析

Analysis of diabetes screening in high-risk population in a community in Shanghai

目的:分析在上海大宁路街道社区高危人群中筛查糖尿病的结果,以指导社区高危人群的糖尿病的防治。方法:于2016年6—8月对大宁路街道社区年满35周岁,且符合《中国2型糖尿病防治指南(2013)》中糖尿病高危人群标准的居民进行筛查。在征得其本人及家属同意后,对其中784名筛查对象进行问卷调查和身高、体重、腰围、血糖及口服葡萄糖耐量(OGTT)等检测。结果:在社区糖尿病高危人群中,葡萄糖调节受损(IGR)的检出率为42.60%(334/784),糖尿病的检出率为17.09%(134/784)。55岁以上年龄组IGR检出率高于55岁及以下各年龄组,差异有统计学意义(P<0.05);65岁以上年龄组的糖尿病检出率高于65岁及以下各年龄组,差异有统计学意义(P<0.05)。高危对象中体重指数(BMI)≥24 kg/m2的比例为59.29%,腰型肥胖的比例为38.78%。结论:应加强对55岁以上高危人群的监测和IGR者的随访管理。体重指数(BMI),腰围为需要重点管理因素。干预过程中还须提高糖尿病高危人群的知识知晓率和自我防病意识,指导积极改变不良生活方式。

Objective： To analyze the results of screening diabetes in high-risk population in Daninglu Community, Shanghai to guide the prevention and treatment of diabetes in high-risk population in the community. Methods： From June to August 2016, the residents in Daninglu Community, who were at the age of 35 and in line with the standard of high-risk population with diabetes in Chinese Guidelines for the Prevention and Treatment of Type 2 Diabetes（2013）, were screened. After obtaining the consent of himself and his family members, a questionnaire survey was conducted in 784 screened subjects and the height, weight, waist circumference, blood glucose and oral glucose tolerance（OGTT） tests were performed. Results： Among the high-risk population with diabetes in the community, the detection rate of abnormal glucose regulation（IGR） was 42.60%（334/784）, and the detection rate of diabetes was 17.09%（134/784）. The detection rate of IGR in the group over 55 years old was higher than that in the age group of 55 years and below, and the difference was statistically significant（P0.05）; the detection rate of diabetes in the age group over 65 was higher than that in all age groups under 65 years old, and the difference was statistically significant（P0.05）. The ratio of body mass index（BMI） ≥ 24 kg/m2 was 59.10%, and the proportion of abdominal obesity was 38.78% in the high-risk subjects. Conclusion： The monitoring of high-risk population over the age of 55 and follow-up management of those with IGR should be strengthened. BMI and waist circumference are key management factors. In the process of intervention, it is also necessary to raise awareness of knowledge and self-prevention awareness of high-risk people of diabetes and guide positive changes in bad lifestyles.