上海某社区糖尿病高危人群筛查结果分析

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

目的:分析社区35岁及以上糖尿病高危人群的现状,为社区健康干预提供依据。方法:采用随机方法抽取上海长风街道35岁及以上糖尿病高危人群650例进行筛查体检,其中男性319人,占49.08%;女性331人,占50.92%。年龄35~91岁,平均年龄(57.93±11.72)岁。结果:在35岁及以上糖尿病高危人群中查出糖尿病70人,检出率10.77%;空腹血糖调节受损(IFG)36人,检出率为5.54%;葡萄糖耐量受损(IGT)108人,检出率16.62%。糖尿病检出率随年龄增加而升高;IGT检出率随年龄增加而下降,差异均有统计学意义(P<0.05)。结论:糖尿病高危人群筛查成为糖尿病早发现的有效途径,可为糖尿病高危人群开展针对性社区干预提供依据。

Objective:To analyze the current status of high-risk groups with diabetes aged 35 and above in the community to provide the evidence for community health intervention.Methods:The random method was used to select 650 high-risk groups aged 35 years and over in Changfeng Community,Shanghai for the screening examination,of whom 319 were males(49.08%)and 331 were females(50.92%).The age was 35~91 years old with an average age of(57.93+11.72)years.Results:Among the high-risk groups with diabetes aged 35 and above,70 were found to have diabetes,and the detection rate was 10.77%;there were 36 impaired fasting glucose regulations(IFG)and the detection rate was 5.54%;there were 108 patients with impaired glucose tolerance(IGT)and the detection rate was 16.62%.The detection rate of diabetes increased with age;the detection rate of IGT decreased with age,and the difference was statistically significant(P<0.05).Conclusion:The screening of high risk people for diabetes is an effective way to find diabetes early,which can provide a certain objective basis for the community intervention of high risk people with diabetes.