宁波市近郊农村女性居民血糖筛查结果分析  

Blood glucose screening results in women in suburban rural areas of Ningbo City

作　　者：崔军[1] 应焱燕[1] 林鸿波[2] 周伟艳[1] 应朝佩 李辉[1] 王志宏 杨成磊 沈鹏[2] CUI Jun;YING Yan-yan;LIN Hong-bo;ZHOU Wei-yan;YING Chao-pei;LI Hui;WANG Zhi-hong;YANG Cheng-lei;SHEN Peng(Ningbo Center for Disease Control and Prevention,Ningbo,Zhejiang 315010,China;Yinzhou District Center for Disease Control and Prevention ,Ningbo,Zhejiang 315194,China;Yinjiang Town Hospital of Haishu District,Ningbo,Zhejiang 315151,China)

机构地区：[1]宁波市疾病预防控制中心,浙江宁波315010 [2]宁波市鄞州区疾病预防控制中心,浙江宁波315194 [3]宁波市海曙区鄞江镇卫生院,浙江宁波315151

出　　处：《上海预防医学》2019年第7期580-583,共4页Shanghai Journal of Preventive Medicine

基　　金：浙江省宁波市科技局惠民项目(2015C50036)

摘　　要：【目的】了解宁波市近郊农村女性居民不同血糖状态分布特征,为社区糖尿病防控策略制定提供科学依据。【方法】对宁波市某乡镇1298名成年女性中非确诊糖尿病者通过空腹血浆葡萄糖(FPG)和口服葡萄糖耐量试验(OGTT)2h血浆葡萄糖(2hPG)检测,进行糖尿病前期和糖尿病筛查。统计分析该人群糖尿病前期和糖尿病的检出率,比较不同血糖代谢状态人群的体重、腰围、血压等差别。【结果】有效筛查1276人,糖尿病前期检出率为17.48%(年龄调整检出率为13.57%),糖尿病检出率为4.23%(年龄调整检出率为2.25%)。检出率随年龄增长而上升,40岁以下无糖尿病检出。糖尿病前期和糖尿病的检出均主要依据单纯符合2hPG诊断标准来判定。血糖正常和异常人群的体重、腰围、血压等组间差异均有统计学意义。【结论】应重视2hPG检测在糖尿病前期和糖尿病筛查中的作用,并加强对体重、腰围、血压异常人群和40岁以上人群的血糖筛查。[Objective] To investigate the distribution characteristics of different blood glucose status of female residents in suburban rural areas of Ningbo city,and to provide scientific evidences for the prevention and control of diabetes in the community.[Methods] In a town of Ningbo,a total of 1 298 adult women undiagnosed with diabetes were screened for pre- diabetes or diabetes by testing fasting plasma glucose (FPG) and OGTT 2-hour plasma glucose (2hPG).The detection rate of pre-diabetes and diabetes mellitus in the population was statistically analyzed,and the differences in weight,waist circumference and blood pressure were compared between women with different glucose metabolism states.[Results] Among the 1 276 women receiving effective screening,the detection rate of pre-diabetes was 17.48%(the age-adjustment detection rate was 13.57%),and that of diabetes was 4.23%(the age-adjusted detection rate was 2.25%).The detection rate of pre- diabetes and diabetes increased with age,and no cases of diabetes were detected under the age of 40.The diagnosis of pre- diabetes and diabetes was mainly determined by 2hPG reaching the diagnostic criteria.Differences in weight,waist circumference and blood pressure found between normal and abnormal blood glucose groups were statistically significant.[Conclusion] The role of 2hPG testing in pre-diabetes and diabetic screening should be emphasized.Blood glucose screening should be recommended for people with abnormal body weight,waist circumference and blood pressure,as well as people over 40 years old.

关 键 词：血糖 筛查 糖尿病前期 糖尿病 

分 类 号：R587.1[医药卫生—内分泌] R181.21[医药卫生—内科学]