北京市某医院在职医务人员血糖水平与心脑血管疾病相关性的研究  

Investigation of the prevalence of blood glucose and the correlation between blood glucose level and cardiovascular diseases in Beijing

作　　者：安海梅[1] 胡荣[2] 张乐辉[1] 秦彦文[3] 

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所职工保健科,100029 [2]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所心内科 [3]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所动脉硬化研究室

出　　处：《心肺血管病杂志》2016年第4期251-255,共5页Journal of Cardiovascular and Pulmonary Diseases

基　　金：国家自然科学基金(91439127)

摘　　要：目的：了解在职医务人员血糖情况，分析血糖水平与心脑血管疾病之间的关系，为在职医务人员的糖尿病防治提供科学依据。方法：对北京市某三级医院2014年参加健康体检的1885例在职医务人员的体检结果进行统计，按年龄分为〈35岁组（1016例）、35～44岁组（485例）、45～54岁组（309例）、≥55岁组（75例），分析血糖情况及血糖水平与心脑血管疾病之间的关系。结果：医务工作者空腹血糖平均值为（5．04±0．98）mmol／L，男性[（5．38±0．97）mmol／L]高于女性[（4．91±0．98）mmo]．／L]（P〈0．01），血糖水平有随年龄增长趋势（P〈0．01）。糖尿病患病率为3．5％，男性（7．8％）显著高于女性（1．8％，P〈0．01），随年龄增长患病率升高（P〈0．01）。相同年龄组男女患病率比较：〈55岁各年龄组男女患病率比较，差异均有统计学意义（均P〈0．05），≥55岁年龄组男女之间比较，差异无统计学意义（P=0．28）。糖尿病患者中知晓率、治疗率和控制率分别为84．8％、72．7％和30．3％。不同血糖水平与心脑血管疾病患病风险之间的Logistic回归分析结果：空腹血糖受损血糖水平（OR=1．34，95％CI：0．17～10．56，P=0．78），糖尿病血糖水平（OR=3．84，95％叫：1．49～9．90，P〈0．01）。结论：血糖水平与心脑血管疾病之间密切相关，血糖水平越高患病风险越大；糖尿病患者血糖控制者不足1／3，应引起重视。Objective： To understand the blood glucose of the medical staff in the hospital, and to ana- lyze of the relationship between blood glucose level and cardiovascular disease, so as to provide scientific basis for the prevention and treatment of diabetes. Methods： The physical examination results of 1 885 medical work- ers were collected. The subjects were divided into 〈 35 years group（ 1 016 cases）, 35 -44 years group（485 cases）, 45-54 years group （309 cases） and ≥55years group （75cases）, the relationship between blood glucose and cardiovascular disease was analyzed. Results：The average value of fasting blood glucose for medical workers was （ 5.04±0. 98 ） mmol/L, male is higher than female[（ 5.38±0. 97 ） mmol,/L vs. （ 4. 91±0. 98 ） mmol/L, P 〈0.01]. The blood glucose levels were increased with age（P 〈0. 01 ）. The prevalence rate of dia- betes was 3.5% , the rate of male was significantly higher than that of female（7.8% vs. 1.8% ,P 〈0. 01 ） ,and it was increased with age（ P 〈 0. 01 ）. The prevalence of different age groups： 〈 55 years old, Males were higher than females, with statistical significance（P 〈 0. 05 ）, but there was no difference between male and female at the age of 55 and above（P = 0. 28）. The awareness rate of self diabetes status was 84. 8% , the treatment rate was 72. 7% and the plasma glucose control rate was 30. 3%. Results of Logistic analysis between different blood glucose levels and the risk of cardiovascular disease： Impaired fasting blood glucose （OR = 1.34,95% CI：0. 17 - 10. 56, P = 0. 78 ） , Diabetes level （ OR = 3.84,95% CI： 1.49 - 9. 90, P 〈 0. 01 ）. Conclusion ： Blood glucose levels are closely related to cardiovascular disease, and the higher the level of blood glucose, the greater the risk of blood glucose. Get less than 1/3 controller, blood sugar should be caused take seriously.

关 键 词：血糖 心脑血管疾病 相关性 在职医务人员 

分 类 号：I4[文学—其他各国文学]