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目的:探讨健康体检人群中糖尿病的发病率及相关危险因素,为糖尿病的预防提供参考。方法:对参加健康体检的500名离退休人员的空腹血糖(FPG)、餐后2 h血糖(OGTT 2 h)、收缩压(SBP)、舒张压(DBP)、体重指数(BMI)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度胆固醇(HDL-C)及甘油三脂(TG)进行检测。应用logistic分析糖尿病发生的相关危险因素。结果:500名参加体检的患者中,确诊糖尿病167例,糖尿病的发病率为33.4%,其中男性88例,占52.7%;女性59例,占47.31%。糖尿病患者的SBP、DBP、BMI、TC、LDL-C、HDL-C及TG水平与健康人群呈显著差异,数据具有统计学意义(P<0.05)。Logistic分析结果显示血压、血脂异常、体重指数与糖尿病的发生呈正相关(P<0.05)。结论:离退休人员发生糖尿病的比例较高,且高血压、高血脂、超重或肥胖等是糖尿病发生的危险因素,应引起临床的重视。
Objective: To investigate the prevalence of diabetes mellitus and its related risk factors in healthy physical examination population and provide reference for the prevention of diabetes. Methods: Fasting plasma glucose (FPG), postprandial 2h blood glucose (OGTT 2h), SBP, DBP, BMI, total cholesterol (TC), low density lipoprotein cholesterol (LDL-C), high density cholesterol (HDL-C) and triglyceride (TG) were measured. Logistic analysis of diabetes related risk factors. Results: Of the 500 patients attending the medical examination, 167 cases were diagnosed with diabetes mellitus, the incidence of diabetes was 33.4%, 88 cases were male, accounting for 52.7%; 59 cases were female, accounting for 47.31%. The levels of SBP, DBP, BMI, TC, LDL-C, HDL-C and TG in diabetic patients were significantly different from those in healthy people (P <0.05). Logistic analysis showed that blood pressure, dyslipidemia, body mass index and diabetes were positively correlated (P <0.05). Conclusion: The retired people have a higher proportion of diabetes mellitus, and hypertension, hyperlipidemia, overweight or obesity are the risk factors of diabetes mellitus, which should arouse clinical attention.