空腹血糖和糖耐量试验在糖尿病筛检中的价值研究  

Value of fasting blood glucose and oral glucose tolerance test for screening of diabetes mellitus

作　　者：徐卫民[1] 项海青[1] 金行一[1] 朱晓霞[1] 吴明奖[2] 蒋惠人 叶俊杰 

机构地区：[1]杭州市疾病预防控制中心,浙江310006 [2]淳安县疾病预防控制中心 [3]杭州市拱墅区疾控中心 [4]杭州市上城区疾控中心

出　　处：《中国卫生检验杂志》2004年第4期447-448,共2页Chinese Journal of Health Laboratory Technology

摘　　要：〔目的〕了解空腹血糖和糖耐量试验对糖尿病的筛检价值。〔方法〕采用葡萄糖氧化酶法对本市 15岁以上4,682名受检者同时进行空腹和口服 75g葡萄糖后 2h血糖测定。〔结果〕 4,682名受检者中查出糖尿病患者 2 15人 ,其中经空腹血糖诊断 170例 ,检出率为 79.0 7% ,经糖耐量试验诊断 73例 ,检出率为 3 3 .95 % ;在新诊断的 13 2例糖尿病病人中 ,二种方法检出率分别为 71.2 1%和 43 .94%。而对有糖尿病危险因素的受检者在空腹血糖检测的基础上进行糖耐量试验 ,可使总检出率达到 98.14 %。〔结论〕在开展以检出糖尿病为目的流行病学调查时 ,应采用空腹血糖检测和对年龄大于 40岁、有高血压病史 ,肥胖及有糖尿病家族史等高危人群进行糖耐量试验 ,以提高糖尿病的检出率。〔Objective〕 To determine the value of fasting blood glucose (FBG) and oral glucose tolerance test (OGTT) for screening of diabetes mellitus (DM).〔Methods〕 A total of 4682 over 15 years old in Hangzhou were included in this study.Their blood glucose before meal and 2 h after taking 75 g glucose was tested by glucose-oxidase method.〔Results〕 Among the 4682 subjects,215 were sufferers of DM and 170 were diagnosed by FBG with a detecting rate of 79.07% and 73 by OGTT with a detecting rate of 33.95%.The detecting rate of the 2 methods was 71.21% and 43.94%,respectively,in 132 newly diagnosed patients.The detecting could reach 98.14% in the subjects with risk factors for DM.〔Conclusions〕 To raise the detecting rate of DM,FBG and OGTT should be applied in high risk groups of people.

关 键 词：空腹血糖 糖耐量试验 糖尿病 筛检 

分 类 号：R446.112[医药卫生—诊断学]