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目的探索社区糖尿病筛查的可行性和模式化。方法基于新农合农民免费健康体检工作,在既有检测项目空腹血糖的基础上,增加糖耐量试验进行规范的糖尿病筛查。糖代谢状态采用WHO 1999分类标准。结果糖尿病筛查的有效人数共10 508人,共检出糖尿病人数为702人,糖尿病调整检出率为4.67%;共检出糖尿病前期的人数为2 010人,糖尿病前期的调整检出率为13.52%。各年龄组中,单纯性糖耐量减低所占的比例均接近或超过50%。结论糖耐量试验纳入体检工作,是糖尿病防治的可行且有利途径。
Objective To explore the feasibility and pattern of community diabetes screening. Methods Based on the free health checkup work of new rural cooperative farmers, based on the existing test items on the basis of fasting blood glucose, we increased the glucose tolerance test to conduct standard diabetes screening. The status of glucose metabolism using WHO 1999 classification criteria. Results A total of 10 508 valid diabetic patients were screened out. A total of 702 diabetic patients and 4.67% diabetic patients were detected. The number of pre-diabetes patients was 210 and the pre-diabetes readjustment rate was 13.52%. In all age groups, the proportion of simple impaired glucose tolerance were close to or exceed 50%. Conclusion The inclusion of glucose tolerance test into the medical examination is a feasible and beneficial way to prevent and treat diabetes.