上海市庄行社区糖尿病高危人群糖代谢异常筛查分析

Analysis of Screening for Abnormal Glucose Metabolism on High Risk Population of Diabetes at Zhuanghang Community, Shanghai

目的通过开展糖尿病筛查项目,了解社区糖尿病高危人群糖代谢异常情况及相关影响因素。方法对通过筛查筛选出的1,545例糖尿病高危居民进行问卷调查、体检和生物样本检测。结果糖尿病高危人群中,糖代谢异常检出率为15.53%,糖尿病前期和糖尿病检出率分别为7.7.%和7.83%。糖代谢异常组体质指数(BMI)、腰围、年龄、收缩压、舒张压、空腹末梢血糖和静脉血糖等指标高于正常血糖组(P<0.05)。随着高危人群年龄的增加,并伴随危险因素的增多,糖代谢异常和糖尿病检出率呈升高趋势(P<0.05);多因素Logistic回归分析结果显示,高危人群出现临床症状项目的数量(OR=6.58,95%CI:4.28~10.10)、中心性肥胖(OR=1.96,95%CI:1.23~3.13)和收缩压水平(OR=1.02,95%CI:1.00~1.04)是糖尿病发生的危险因素。结论应继续加大糖尿病的筛查力度,对糖尿病进行三早预防。加强糖尿病高危人群健康宣传教育,控制社区糖尿病的发生和发展。

Objective To understand the prevalence and risk factors of abnormal glucose metabolism and diabetes on high risk population at Zhuanghang Community by carrying out diabetes screening program. Methods A total of 1514 cases were as diabetes high-risk population by the screening were conducted the questionnaire survey, physical examination, and biological samples detection. Results The detection rate of abnormal glucose metabolism in high risk population of diabetes was 15.53%, the detection rates of prediabetes and diabetes were 7.7.% and 7.83% respectively. BMI, waist circumference, age, systolic pressure, diastolic pressure, fasting peripheral blood glucose, and fasting blood glucose in the group of abnormal glucose metabolism were higher than those of the group with normal blood glucose(P<0.05). With the increasing of age and the number of risk factors, the prevalence of abnormal glucose metabolism and diabetes mellitus increased(P<0.05). Multivariate Logistic regression analysis showed that the number of clinical symptoms(OR=6.58, 95% CI:4.28~10.10), central obesity(OR=1.96, 95% CI:1.23~3.13), and systolic blood pressure(OR=1.02, 95%CI:1.00~1.04)were the risk factors for diabetes. Conclusion The diabetes screening should be strengthened to realize the early detection, diagnosis and treatment of diabetes. The health education among people on high-risk of diabetes should be strengthened for controlling the occurrence and development of diabetes at community.