糖尿病危险因素评分量表在社区人群糖尿病筛检中的应用  

Application of Diabetes Risk Scores for Screening Test Among Community Groups

作　　者：李志坤[1] 张茂镕[1] 杨昭[1] 沈岚[1] 马娅[1] 杨俊秋[1] 龚鹤琴[1] 

机构地区：[1]昆明市疾病预防控制中心,昆明650228

出　　处：《中国初级卫生保健》2011年第3期34-36,共3页Chinese Primary Health Care

基　　金：昆明市科技项目基金(06S115139)

摘　　要：目的探讨糖尿病危险因素评分量表在社区人群糖尿病筛检中的应用。方法通过昆明市居民糖尿病流行病学调查,建立人群危险因素的记分方法,采用Logistic回归分析筛选糖尿病危险因素,根据危险因素的OR值,计算个体累计分值,以判断个体患病危险性,并用于对试点社区人群的筛查,以验证该方法筛检的真实性和可靠性。结果多因素分析(P<0.05)显示,以父母或直系兄弟姐妹患糖尿病、年龄超过45岁、患有高血压、患有高血脂、体质指数在24.0～27.9之间、体质指数>28.0、腰臀比例>0.9(男)或>0.85(女)、最近有多饮多尿症状、最近乏力体重明显下降和很少进行体育锻炼为变量作为主要危险因素记分,其累计分值越高,表明人群中无症状糖尿病的患病风险越大。当以7为阈值的时候,其灵敏度为69.6%,特异度为60.0%,提示:只要对40.0%的社区居民进行筛查就可以查出全人群中69.6%的未发现的糖尿病患者。结论危险因素记分法在实际工作中有较大的应用价值,可作为社区居民糖尿病筛查的第一线方法,并可在社区糖尿病预防控制工作中广泛应用。OBJECTIVE Application of diabetes risk scores for screening test among community groups.METHODS To establish scoring method of diabetes risk factors by epidemiological survey among the community residents in kunming city and use logistic regression analysis to screen the diabetes risk factors.According to the OR value of the risk factors,the individual accumulated score value was calculated and was used to judge the individual risk of the disease and to screen among the pilot community groups.By thses,the authenticity and the reliability of this screening method were verified.RESULTS The variables of a person included：lineal relative by blood is diabetic,more than 45 years old,high blood-fat,high blood pressure,body mass index（bmi）between 24.0 and 27.9,physical fitness index 28.0,waist-to-hip ratio 0.9 for male and 0.85 for female,symptoms of polydipsia and diuresis recently and recent weakness and weight decreased obviously,rarely exercise.And these variables was regarded as the main risk factors to score.The multi-factor analysis（P0.05）show that the higher accumulative score is,the greater risk among asymptomatic diabetes will be.With 7 as the threshold,the sensitivity of method is 69.6% and the specificity 60.0%.It suggests that if 40.0% community residents is screened,69.6% can be detected among the whole community residents with asymptomatic diabetes.CONCLUSION Risk scores has a great practical value in actual work.It can be used as first screening among the community residents and can be used widely for the diabetes prevention and control in communities.

关 键 词：糖尿病 危险因素评分量表 社区人群 筛查 

分 类 号：R587.1[医药卫生—内分泌]