上海市长宁区糖尿病高危人群筛查结果分析  

Analysis of screening results of high-risk diabetes patients in Changning district in Shanghai

作　　者：周方家[1] 徐蕾[1] 姜玉[1] 赵琦[2] 吴文军 ZHOU Fang-jia;XU Lei;JIANG Yu;ZHAO Qi;WU Wen-jun(Changning Center for Disease Control and Prevention,Shanghai 200051,China;不详)

机构地区：[1]上海市长宁区疾病预防控制中心,上海200051 [2]复旦大学,上海200433

出　　处：《现代预防医学》2020年第8期1415-1418,共4页Modern Preventive Medicine

摘　　要：目的利用长宁区糖尿病高危人群的血糖筛查结果数据,分析长宁区糖尿病高危人群中糖尿病和糖调节受损的检出率,分析影响高危人群中糖尿病和糖调节受损的危险因素,为加强社区糖尿病防治力度提供参考依据。方法收集糖尿病高危人群的基本信息、糖尿病危险因素及相关症状、体格检查数据及血糖数据进行统计分析。结果 2016-2017年,12 567名糖尿病高危人群中共检出糖尿病1 171人,糖调节受损者1 547人,检出率分别为9.3%、12.3%。多因素logistic回归分析发现,高龄(OR:1.032,95%CI:1.026~1.038)、男性(OR:1.161,95%CI:1.036~1.301)、低学历(P<0.05)、糖调节受损史(OR:6.257,95%CI:4.756~8.232)、亲属患2型糖尿病(OR:1.388,95%CI:1.169~1.649)、高血压(OR:1.463,95%CI:1.268~1.688)和体型超重/肥胖(OR:2.228,95%CI:1.940~2.559)是血糖代谢障碍的独立预测因素;高龄(OR:1.040,95%CI:1.035~1.045)、男性(OR:1.361,95%CI:1.224~1.581)、低学历(P<0.05)、糖调节受损史(OR:2.644,95%CI:1.949~3.586)、亲属患2型糖尿病(OR:1.417,95%CI:1.217~1.650)、高血压(OR:1.360,95%CI:1.199~1.543)、血脂异常(OR=1.208,95%CI:1.019~1.432)、一过性类固醇糖尿病史(OR=2.397, 95%CI:1.195~4.807)、长期静坐生活方式(OR=2.542,95%CI:1.376~4.699)以及体型超重/肥胖(OR:1.975,95%CI:1.754~2.224)是检出糖尿病的独立预测因素。结论长宁区糖尿病高危人群的糖尿病和糖调节受损检出率较高。在高危人群中筛查,能使超过五分之一的血糖异常者得到早期诊断,应持续开展此项工作。Objective Based on the data of blood glucose screening in high-risk population of diabetes in Changning District,the detection rate of diabetes and impaired glucose regulation in high-risk population of diabetes were analyzed, and the risk factors affecting impaired diabetes and impaired glucose regulation in high-risk population were analyzed, which provided a reference for strengthening the prevention and treatment of diabetes. Methods The basic information, risk factors and related symptoms of diabetes, physical examination data and blood sugar data of high-risk groups of diabetes were collected for statistical analysis. Results From 2016 to 2017, 1171 diabetes and 1547 impaired glucose regulation were detected in 12567 highrisk diabetic population, with the detection rates of 9.3% and 12.3% respectively. Multivariate logistic regression analysis showed that the elderly(OR: 1.032, 95%CI: 1.026-1.038), male(OR:1.161, 95%CI:1.036-1.301), low education(P<0.05), history of impaired glucose regulation(OR: 6.257, 95% CI: 4.756-8.232), family history of type 2 diabetes mellitus(OR: 1.388, 95%CI: 1.169-1.649), hypertension(OR: 1.463, 95% CI: 1.268-1.688) and overweight/obesity(OR: 2.228, 95% CI: 1.940-2.559) were independent predictors of impaired glucose regulation;the elderly(OR:1.040, 95% CI: 1.035-1.045), male(OR:1.361, 95% CI:1.224-1.581), low education(P<0.05), history of impaired glucose regulation(OR: 2.644, 95% CI: 1.949-3.586), family history of type 2 diabetes mellitus(OR: 1.417, 95% CI: 1.217-1.650), hypertension(OR: 1.360, 95% CI: 1.199-1.543), dyslipidemia(OR =1.208, 95% CI: 1.019-1.432), transient steroid diabetes history(OR=2.397, 95% CI:1.195-4.807), long-term sedentary lifestyle(OR=2.542, 95% CI: 1.376-4.699) and overweight/obesity(OR: 1.975, 95% CI: 1.754-2.224) were independent predictors of diabetes. Conclusion The detection rate of diabetes and impaired glucose regulation in high-risk population of diabetes in Changning District is higher. Screening in high-risk groups can make more than one fift

关 键 词：糖尿病 高危人群 筛查 

分 类 号：R181[医药卫生—流行病学]