乌鲁木齐市汉族居民空腹血糖水平现况调查及影响因素分析  

A Cross-sectional Investigation on Levels of Fasting Glucose in Han Residents of Urumqi City and Its influencing Factors

作　　者：曹丹[1] 王志宏 张丽[1] 樊勇[1] 艾比拜[1] 朱筠[1] 

机构地区：[1]新疆医科大学第一附属医院内分泌科,新疆乌鲁木齐市830054 [2]新疆维吾尔自治区第二济困医院内科

出　　处：《中国全科医学》2010年第9期976-979,共4页Chinese General Practice

基　　金：新疆医科大学一附属医院循证医学专项基金(2007-X2-03);新疆维吾尔自治区重点学科(内科学)建设经费(2004-2008)

摘　　要：目的了解乌鲁木齐市汉族居民空腹血糖水平及其影响因素。方法从乌鲁木齐市区中整群抽取兴安社区居委会,随机抽取居委会中年龄≥18岁的汉族社区居民600名,进行问卷式调查,发放问卷600份,回收有效问卷588份。测量居民的身高、体质量、腰围、臀围、血压;检测空腹血糖,三酰甘油(TG)、总胆固醇(TC),高密度脂蛋白胆固醇(HDL-C)。按空腹血糖水平将居民分为3组:空腹血糖正常、空腹血糖受损(IFG)、糖尿病(DM)组。结果居民的IFG检出率为56.63%,居民DM患病率为10.37%。3组居民的年龄、文化程度、体质指数(BMI)、有无高血压、腹部肥胖以及TG、TC有无异常比较,差异均有统计学意义(P<0.05);多因素逐步回归分析显示年龄、血压和TG为危险因素,OR值分别为1.229、1.528、1.235。结论乌鲁木齐市居民的IFG、DM的检出率分别为56.63%、10.37%,处于较高水平。年龄、血压、TG是空腹血糖水平增高的主要影响因素。Objective To study the detection rates and effect factors of fasting glucose in Han residents in Urumqi.Methods A questionnaire-type survey was conducted on data of 600 Han residents （≥18 years old）.Their height,body mass （BM）,waist circumference （WC）,hip circumference （HC）,blood pressure （BP）,and the levels fasting blood glucose （FBG）,triglyceride （TG）,total cholesterol （TC）,high-density lipoprotein cholesterol （HDL-C） were determined.The subjects were divided according to FBG level into groups FG （with normal fasting glucose）,IFG （with impaired FG）,DM （with diabetes mellitus）.Results The IFG detection rate was 56.63%,DM prevalence rate was 10.37%.There was significant difference in age,educational level,BMI,BP,WC,high TG,high TC between 3 groups （P〈0.05）.Multi-factor Stepwise Regression Analysis showed that age,BP,TC were the risk factors,OR were 1.229,1.528,1.235,respectively.Conclusion The detection rates of IFG,DM are high in Urumqi （56.63%,10.37%）.Age,BP,TG are the main influencing factors of elevated FG levels.

关 键 词：空腹血糖 检出率 影响因素 

分 类 号：R587.1[医药卫生—内分泌]