深圳医院中老年体检人群糖代谢状况研究  

Study on the Prevalence and Control of Glucose Metabolism and Diabetes Mellitus in Peking University Shenzhen Hospital

作　　者：蓝薇[1] 陈霞[1] 叶敏[1] 李伏娥[1] 王英蓉[1] 谢帆慈 LAN Wei;CHEN Xia;YE Min;LI Fue;WANG Yingrong;XIE Fanci(Special Clinic, Peking University Shenzhen Hospital, Shenzhen Guangdong 518036, China)

机构地区：[1]北京大学深圳医院特诊门诊

出　　处：《中国继续医学教育》2019年第17期58-61,共4页China Continuing Medical Education

摘　　要：目的探究北京大学深圳医院体检中老年人群糖代谢、糖尿病患病及控制状况,及其主要的影响因素。方法选取2016年11月-2017年10月在我院接受体检的中老年人员2 206例,采用发放调查问卷的方式收集患者资料。采用多因素logistic回归分析影响糖尿病患病及控制情况的危险因素。结果所有体检者的糖尿病患病率为24.80%,所有体检者的治疗率、控制率、知晓率分别为69.08%、16.00%、78.60%,男性及女性患者比较,差异无统计学意义(P> 0.05);影响患者糖尿病患者患病及控制情况的主要因素有文化程度、糖尿病家族史、BMI指数、饮酒等;文化程度在小学及以下者及有糖尿病家族史者患病率更高;BMI≥24 kg/m^2体检人员的患病率较高;BMI≥24 kg/m^2及饮酒的体检者的治疗率、知晓率较低。结论我院健康体检中老年人群的糖尿病患病较高,控制状况较差,文化程度、家族史、BMI、饮酒等为影响患病及控制情况的危险因素,临床中应注重对糖尿病的预防,注重饮食控制,增加体力活动,转变不良的生活方式,以减少糖尿病的发生。Objective To investigate the prevalence of diabetes mellitus, status of glucose metabolism, and their risk factors in middle-aged and elderly health examination subjects in a Shenzhen hospital. Methods A total of 2 206 middle-aged and elderly health examination subjects in our hospital from November 2016 to October 2017 were selected to collect the data of patients by means of questionnaires. Multivariate logistic regression was used to analyze the risk factors affecting the prevalence and control of diabetes mellitus. Results The prevalence rate of diabetes was 24.80%;the rate of treatment, control, awareness were 69.08%, 16%, 78.60%, respectively, the differences of male and female subjects were not statistically significant(P>0.05);multivariate analysis showed that the main factors affecting the prevalence and the well control of diabetes were education, diabetes family history, BMI and alcohol intake;higher prevalence of diabetes was found in subjects with elementary school and lower education as well as those with family history of diabetes. The subjects with BMI ≥ 24 kg/m^2, high alcohol intake had higher morbidity rate, low treatment rate and low awareness rate. Conclusion A high prevalence of diabetes was found in elderly health examination subjects in a Shenzhen hospital. Education level, diabetes family history, BMI, alcohol intake are risk factors of diabetes prevalence and for the controlling of the disease, we should give more medical care for high risk subjects in order to reduce the incidence of diabetes by lifestyle changing, including diet and weight control, increase physical activity.

关 键 词：中老年 糖代谢 糖尿病 糖耐量减低 控制状况 分布 体检 

分 类 号：R587[医药卫生—内分泌]