老年体检者糖代谢异常检出情况及其影响因素分析

Analysis of the detection of abnormal glucose metabolism and its influencing factors in elderly medical examiners

目的观察280例老年体检者糖代谢异常情况,分析导致患者发生糖代谢异常情况的因素,旨在指导临床慢性病的防控,降低糖尿病发病率。方法选取2021年2月—2021年6月期间在西部战区总医院门诊体检的280例老年体检者,根据其是否发生糖代谢异常情况进行分组,记录并对比入选者基线资料,观察并分析可能导致个体糖代谢异常的危险因素。结果280例入选者中,发生糖代谢异常患者102例,占比36.43%(102/280);与糖代谢非异常组相比,糖代谢异常组患者年龄、BMI、LDL-C、合并糖尿病家族史的比例、收缩压与舒张压均较高,差异有统计学意义(P<0.05),2组其他基线资料差异无统计学意义(P>0.05);Logistic回归模型多因素分析,年龄、BMI、LDL-C、合并糖尿病家族史、收缩压与舒张压是导致个体发生糖代谢异常的影响因素(OR>1,P<0.05)。结论年龄、BMI、LDL-C、合并糖尿病家族史、收缩压与舒张压均与老年人发生糖代谢异常相关,建议针对高龄、肥胖等合并上述危险因素人群,定期开展健康讲座和定期体检,以减少糖尿病等非传染性慢性病的发生,提高居民整体健康水平。

Objective To investigate the abnormal glucose metabolism in 280 elderly people undergoing physical examination,analyze the factors that cause abnormal glucose metabolism,and guide the prevention and control of clinical chronic diseases and reduce the incidence of diabetes.Methods 280 elderly people who underwent physical examination in the Outpatient Department of General Hospital of Western Theater Command from February 2021 to June 2021 were selected and divided into two groups according to whether they had abnormal glucose metabolism.Their baseline data were recorded and compared,and the risk factors that might cause abnormal glucose metabolism were observed and analyzed.Results Among the 280 subjects,102 ones(36.43%)had abnormal glucose metabolism.Compared with the non-abnormal glucose metabolism group,the abnormal glucose metabolism group had higher age,BMI,LDL-C,Family history of diabetes mellitus,systolic blood pressure and diastolic blood pressure,and the difference is statistically significant(P<0.05).There was no significant difference in other baseline data between the two groups(P>0.05).Logistic regression model multifactor analysis,age,BMI,LDL-C,family history of comorbid diabetes,and systolic and diastolic blood pressure were influential factors in the development of abnormal glucose metabolism in individuals(OR>1,P<0.05).Conclusion Age,BMI,LDL-C,Percentage of combined family history of diabetes,systolic blood pressure and diastolic blood pressure are all related to occurrence of abnormal glucose metabolism in the elderly.It is recommended to organize regular health lectures and physical examinations for the elderly,obesity and other people with the above risk factors to reduce the occurrence of non-communicable chronic diseases such as diabetes and improve the overall health of residents.