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目的评价高危人群评分在糖尿病高危筛查中的应用,分析糖尿病前期在高危人群中的分布及危险因素为预防2型糖尿病提供思路。方法对筛查人群进行问卷调查、体格检查及血糖检测。结果糖尿病前期患病率为12.5%男性患病率为11.8%,女性患病率为12.9%,18-44岁组、45~59岁组、>60岁年龄组的患病率分别为9.5%、8.7%和15.5%。筛查人群的超重率为46.0%,肥胖率为29.5%;吸烟率为31.5%,戒烟率为3.5%,饮酒率为27.5%;体育锻炼率为81.5%;嗜盐率为20.0%血压控制率为51.0%。半年血压、血糖、血脂检测率分别为92.5%、53.5%、41.5%。超重肥胖、吸烟是糖尿病前期的危险因素,体育锻炼是保护因素。高危人群评分标准的灵敏度为90.5%。结论高危人群评分标准可用于高危人群快速诊断,东丽社区居民糖尿病前期患病率低于全国平均水平J寸相关危险因素进行干预,可有效降低糖尿病前期及糖尿病的发病率。
Objective To evaluate the application of high-risk population score in high-risk screening of diabetes and to analyze the distribution of pre-diabetes patients in high-risk population and the risk factors for prevention of type 2 diabetes mellitus. Methods Questionnaire investigation, physical examination and blood sugar test were performed on the screening population. Results The prevalence of pre-diabetes was 12.5% in men and 11.9% in women, while the prevalence in females was 12.9%. The prevalence rates in 18-44, 45-59, and> 60-year age groups were 9.5% , 8.7% and 15.5% respectively. The prevalence of overweight in the screening population was 46.0%, the obesity rate was 29.5%, the smoking rate was 31.5%, the smoking cessation rate was 3.5%, the drinking rate was 27.5%, the physical activity rate was 81.5% and the rate of halophilicity was 20.0% 51.0%. Half a year blood pressure, blood glucose, blood lipid detection rates were 92.5%, 53.5%, 41.5%. Overweight and obesity, smoking is a risk factor for pre-diabetes, physical exercise is a protective factor. The sensitivity of the high-risk group is 90.5%. Conclusion The high risk population score can be used for rapid diagnosis of high risk population. The prevalence of pre-diabetes in Dongli community residents is lower than the national average level of J-related risk factors for intervention, which can effectively reduce the incidence of pre-diabetes and diabetes.