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目的通过对社区60岁以上老年人糖尿病的筛查,探讨糖尿病早期预防和控制策略。方法采用天津市城市老年人糖尿病筛查表,对社区60岁以上老年人进行糖尿病的筛查,并进行早期干预和临床分析。结果在社区60岁以上老年人糖尿病的筛查中,糖尿病(DM)、糖耐量低减(IGT)及空腹血糖损害(IFG)的检出率分别为17.58%,1%和0.82%。与检出率相关的因素有:年龄、体重指数(BMI)、血压、血脂和家族史,显示社区老年人糖尿病患者中存在大量无症状的DM、IGT、IFG人群。结论在社区开展老年糖尿病筛查,对高危人群开展广泛的糖尿病教育和防治,早期发现DM、IGT和IFG,把糖尿病的危害控制在最低限度是一项重要工作。
Objective To explore the early prevention and control strategies of diabetes through the screening of diabetes in the elderly over the age of 60 in the community. Methods Screening diabetes mellitus in urban elderly in Tianjin was used to screen the elderly with diabetes in the community over 60 years old and to carry out early intervention and clinical analysis. Results The prevalence of diabetes mellitus (DM), impaired glucose tolerance (IGT) and impaired fasting glucose (IFG) were 17.58%, 1% and 0.82%, respectively, in the screening of diabetes in the elderly over the age of 60 in the community. Factors associated with the detection rate are age, body mass index (BMI), blood pressure, lipids, and family history, indicating that there is a large population of asymptomatic DM, IGT, and IFG populations in elderly diabetic patients in the community. Conclusion It is an important task to screen elderly people for diabetes screening, educate and control diabetes at high risk for a wide range of people, discover DM, IGT and IFG early in the community and minimize the risk of diabetes.