三级医院进行糖尿病二级预防的方法探讨  

Methods Investigation of 3^(rd) Class Hospital Conducting Secondary Prevention of Diabetes

作　　者：潘斌斌[1] 苏晓飞[1] 郭琳[1] 张之英[1] 付丽媛[1] 孙睿[1] 马建华[1] 

机构地区：[1]南京医科大学附属南京医院内分泌科南京市糖尿病防治中心,南京210012

出　　处：《医学综述》2013年第8期1533-1535,共3页Medical Recapitulate

摘　　要：目的探求三级医院进行糖尿病二级预防的方法,以尽早筛查出早期糖尿病患者并进行干预。方法南京市糖尿病防治中心通过张贴宣传海报、居委会通知等方式招募社区人员,凡是在空腹状态下末梢血糖≥5.0 mmol/L或随机末梢血糖≥7.0 mmol/L者,嘱其进一步行75 g葡萄糖耐量试验,测量0、30、120 min血糖水平。结果本次调查共随机招募了705例参与者,其中经葡萄糖耐量诊断为糖尿病、糖耐量异常、空腹糖耐量受损的人数分别为37、30、36例;相关性分析显示,糖尿病的发生与体质指数、高血压病程、腰围、臀围、腰围/臀围值呈正相关。结论三级医院进社区筛查新诊断糖尿病是可行的,对于糖尿病二级预防有一定意义。Objective To explore ways to conduct secondary prevention of diabetes in 3 ~ class hospitals to give interventions to these newly screened diabetes patients as early as possible. Methods The study recruitedthe people through posters and notices by Nanjing Diabetes Control Center. The person with fast blood sugar ≥ 5.0 mmol/L or random blood glucose ≥7.0 mmol/L was suggested to do 75 g oral glucose toler- ance test,blood glucose of.0,30,120 minutes were tested. Results 705 participants were randomly recrui- ted, among which 37,30,36persons were diagnosed as diabetes,impaired glucose tolerance and impaired fast glucose respectively. The correlation indicated that body mass index, durations of hypertension, waistline, hip circumference,and waistline/hip circumference value were positively correlated with the incidence of diabe- tes. Conclusion It is feasible that the 3rd class hospital screen newly diagnosed diabetes patients in commu- nities, which is of a certain significance for the secondary prevention of diabetes.

关 键 词：糖尿病 发病率 三级医院 社区 二级预防 

分 类 号：R587.1[医药卫生—内分泌]