基于基本公共卫生服务体检空腹血糖受损居民糖尿病检出及危险因素分析

Analysis of diabetes detection and risk factors in residents with impaired fasting blood glucose in basic public health service physical examination

目的:分析基本公共卫生服务体检空腹血糖受损居民糖尿病检出情况及危险因素。方法:收集本辖区参与2018年基本公共卫生健康体检居民,在剔除体检时已诊断患有2型糖尿病居民后,纳入407人。对所有体检空腹血糖异常居民行OGTT检查并诊断糖尿病患病情况。结果:空腹血糖异常居民糖尿病综合检出率为50.37%,糖耐量异常检出率为34.15%。在危险因素分析中,超重或肥胖、腹型肥胖组糖尿病检出率最高,分别为59.7%和58.9%。结论:基本公共卫生服务体检的对象为高血压患者和>65岁老年人,此类人群糖尿病患病风险较高,在此类居民中发现空腹血糖受损居民应当引起高度重视,及早进行相关检查,力争早诊断、早发现、早治疗。

Objective:To analyze the diabetes detection and risk factors in residents with impaired fasting blood glucose in basic public health service physical examination.Methods:Residents who participated in the basic public health physical examination in 2018 in their jurisdiction were collected,after excluding those who had been diagnosed with type 2 diabetes at the time of physical examination,407 people were enrolled.All residents with abnormal fasting blood glucose were examined by OGTT and diagnosed with diabetes.Results:Off all residents with abnormal fasting blood glucose,the detection rate of diabetes was 50.37%,abnormal detection rate of glucose tolerance was 34.15%.In the risk factor analysis,the highest rates of diabetes were found in overweight or obese and abdominal obesity groups,with 59.7%and 58.9%respectively.Conclusion:The patients with hypertension and over 65 years old are the subjects of the basic public health service,the risk of diabetes is higher in these people,those who find impaired fasting blood glucose among such residents should pay great attention to early relevant examinations and strive to diagnose,detect and treat early.