高校在职教职工体检空腹血糖统计分析与健康干预策略研究  

Statistical Analysis of Fasting Plasma Glucose in Physical Examination of University Staff and Research on Health Intervention Strategies

作　　者：杨静 金翠香 王雅琴 YANG Jing;JIN Cui-xiang;WANG Ya-qin(Shandong University School Hospital,Jinan 250002)

机构地区：[1]山东大学校医院,济南250002

出　　处：《实用中西医结合临床》2021年第14期118-120,共3页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨定期查体及针对检测结果进行健康干预对高校教职工空腹血糖(FPG)的影响。方法:回顾性分析山东大学在职教职工2013年-2019年4次健康查体的空腹血糖(FPG)检测结果及健康干预方式,分析4次查体高血糖患病情况;不同职业人员健康干预效果;不同年龄组、不同性别高血糖患病情况;高血糖患病率与身体质量指数及家族史的关系;部分血糖持续增高患者原因。结果:后两次体检高血糖患病率明显降低,空腹血糖受损患病状况改善明显,FPG值≥7.0 mmol/L者患病状况无改善。教师、机关及管理人员2019年高血糖患病率及FPG均值与2013年相比有明显降低,但后勤工人高血糖患病率无降低,FPG水平居高不下。45-55岁年龄组男女患病率相当,其他年龄组男性高血糖患病率及FPG水平均明显高于女性。高血糖患病率与身体质量指数及家族遗传因素关系密切。随机抽取2013年及2019年查体两次FPG均≥8.0 mmol/L的患者12例,调查血糖未达标原因,主要为不了解糖尿病并发症的危害,对疾病不重视;对健康处方中的建议一知半解,不能正确执行;工作性质特殊,无法执行医嘱;对胰岛素有偏见,口服药物效果不理想的情况下,不愿意及时采取胰岛素治疗。结论:定期查体及针对检测结果进行健康干预可有效降低高校教职工高血糖发病率,需要针对后勤工人、更年期女性、身体质量指数超标及有相关疾病家族史等重点人群实施更加有效的干预措施。Objective:To explore the effects of regular physical examinations and health intervention based on test results on fasting plasma glucose(FPG)of university staff.Methods:The fasting plasma glucose test results and health intervention methods of Shandong University staff in the 4 physical examinations from 2013 to 2019 were retrospectively analyzed,and the prevalence of hyperglycemia in the 4 physical examinations were analyzed;the effecs of health intervention for different occupations;the prevalence of hyperglycemia in different age groups and genders;the relationship between the prevalence of hyperglycemia,body mass index and family history;part of the reasons for the continuous increase in blood glucose.Results:In the last two times physical examinations,the prevalence of hyperglycemia decreased significantly,the condition of impaired fasting blood glucose improved significantly,and the condition of FPG≥7.0 mmol/L did not improved.Compared with 2013,the prevalence of hyperglycemia and average FPG of teachers,authorities and managers in 2019 decreased significantly,but the prevalence of hyperglycemia of logistics workers did not decrease,and the level of FPG remained high.The prevalence of man and woman in the 45-55 age group was equal,the prevalence of hyperglycemia and the level of FPG in men of other age groups were significantly higher than those in women.The prevalence of hyperglycemia was closely related to body mass index and family genetic factors.12 Patients with FPG≥8.0 mmol/L in 2013 and 2019 were randomly selected,the main reason for investigating substandard plasma glucose was not understand the hazards of diabetic complications and pay no attention to diseases.They knew little about the advice in the health prescription and couldn't implement it correctly;because of the special nature of the work,it was impossible to carry out the doctor's orders;they were unwilling to take insulin treatment in time when they were biased against insulin and the effect of oral medicines was not ideal.Conclusion

关 键 词：高血糖 高校教职工 空腹血糖 健康干预 

分 类 号：R587.1[医药卫生—内分泌]