医务人员高血糖症相关因素调查分析及其在健康教育中的意义  

Study on the Hyperglycemia and Correlative Factors in Medical Population and its Significance in Health Education

作　　者：刘红艳[1] 梁爱萍[1] 杨晓秋[1] 王晓莉[1] 张继红[1] 孟庆义[1] 

机构地区：[1]中国人民解放军总医院门诊部,北京100853

出　　处：《现代护理》2004年第9期807-809,共3页Modern Nursing

基　　金：中国人民解放军总医院院长基金项目 (YQ2 0 0 2 - 1 )

摘　　要：目的　探讨医务人员高血糖症相关因素的发生情况及其在健康教育中的意义。方法　对解放军总医院 1 80 2例医务人员血清生化检查和超声波等资料及外周血细胞形态进行调查分析。结果　高血糖组 (n =74 )血清谷丙转氨酶、甘油三酯和胆固醇的水平高于非高血糖组 (n =1 0 0 8) (P均 <0 .0 5 ) ;高血压、高甘油三酯、高胆固醇和脂肪肝的比例也高于非高血糖组 ,且具显著性意义 (P均 <0 .0 5 )。高血糖组外周血白细胞计数和PDW -SD均高于非高血糖组 (P均 <0 .0 5 ) ,MCHC则低于非高血糖组 (P <0 .0 1 )。本组人群空腹血糖水平与年龄、收缩压、舒张压、胆固醇、甘油三酯和RDW -SD和PDW -SD存在一定程度的正相关 (r =0 .0 6 2～ 0 .2 4 0 ,P均 <0 .0 5 ) ;还与身长、体重、血红蛋白及HCT存在一定程度的负相关 (r =0 .0 6 2～ 0 .1 72 ,P均 <0 .0 5 )。结论　医务人员中高血糖症患者常伴有代谢指标的异常和外周血细胞形态学的改变 。Objective To investigate the occurrence of hyperglycemia and correlative factors in a medical population and its significance in the health education. Methods The serum chemical analysis, ultrasonic checkup and blood cell form data of 1802 medical workers in Chinese PLA General Hospital were collected and analyzed. Results The serum alanine aminotransferase, triglyceride and cholesterol levels in the hyperglycemia group (n=74) were significantly higher than the non-hyperglycemia group (n=1008) (All P<0.05). The percentages of the hypertension, hypertriglyceride, hypercholesterol and fatty liver in the hyperglycemia group were also higher than the non-hyperglycemia (All P<0.05). The hyperglycemia group was with higher white blood cell count and platelet distribution width and lower mean cell hemoglobin concentration compared with the non-hyperglycemia group (All P<0.05). The fast blood sugar levels in this population were correlated positively with the age, systolic and diastolic blood pressure, serum cholesterol and triglyceride, RDW-SD and PDW-SD (r=0.062～0.240, All P<0.05), and which also correlated negatively with the body length, weight, hemoglobin and HCT (r=0.062～0.172, All P<0.05). Conclusions The hyperglycemia cases in the medical workers were often accompanied with abnormal metabolism markers and the changes of peripheral blood cell form. That suggested the prevention and cognition of hyperglycemia and its related factors should be thought highly in the health education.

关 键 词：医务人员 血糖 健康教育 

分 类 号：R473.5[医药卫生—护理学]