空腹血糖受损切点下调对糖调节受损影响的研究  

Impact of down regulation of impaired fasting glucose point-cut on prevalence of sugar regulation damaged

作　　者：何洲[1] 黎明[1] 李慈华[1] 

机构地区：[1]广东工业大学医院,广东广州510090

出　　处：《中国校医》2013年第10期764-766,共3页Chinese Journal of School Doctor

基　　金：广东工业大学青年基金项目(405115029)

摘　　要：目的了解空腹血糖受损（IFG）切点下调对糖调节受损（ICR）的影响。方法收集784例完整的健康体检资料并按不同空腹血糖水平分组，采用卡方检验进行统计学分析。结果IFG诊断标准下调后IFG患病例数增加85例，IFG患病率由14．00％增至25．00％，2者比较差异有统计学意义（x2=88．3，P〈0．05），正常糖耐量由57．9％降至46．9％，2者比较差异有统计学意义（x0=48．2，P〈0．05）。空腹血糖5．6--6．0mmol／L组与〈5．6mmol／L组及与6．1～6．9mmol／L组比较，在体质量超标或肥胖、高血压、高血脂、脂肪肝及心电图异常方面，差异均有统计学意义（P〈0．05）。结论IFG切点下调后对某高校人群IGR分布有显著影响，新增单纯IFG人群已出现糖、脂代谢异常，应引起重视并及早进行干预治疗。Objective To understand the impact of down regulation of impaired fasting glucose （IFG） point-cut on the prevalence of sugar regulation damaged （1CR）. Methods The data of 784 people with complete physical examination information were collected and grouped according to the different fasting plasma glucose levels, and analyzed statistically by using Chi-square test. Results After the down regulation of IFG point-cut, the prevalence of ICR increased from 14.0% to 25.0% （85 cases increase） （;（2 = 88.3, P〈 0.05）, and the prevalence of normal glucose tolerance decreased from 57.9 % to 46.9 % （3（2 = 48.2, P 〈 0.05）. The comparison among the fasting glucose 5.6-- 6.0 mmol/L group, fasting glucose 〈 5.6 mmol/L group, and the fasting glucose 6.1 --6.9mmol/L group showed that there were significant differences in overweight or obesity, hypertension, hyperlipidemia, fatty liver, and electrocardiogram （ECG） abnormalities （P 〈 0.05）. Conclusions The down regulation of IFG point-cut has a significant impact on the distribution of ICR population; therefore, the appropriate interventions should be strengthened as early as possible.

关 键 词：糖尿病 2型 饥饿 糖耐量试验 葡萄糖 代谢 全体教工 院校 普查 患病率 

分 类 号：R587.1[医药卫生—内分泌]