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目的了解高校教职工空腹血糖(FPG)水平及高血糖的分布情况,为进行糖尿病(DM)的筛查和制定防治措施提供一定的科学依据。方法用葡萄糖氧化酶法测定3 979名健康体检者FPG,以FPG<6.1 mmol/L为正常、7.0>FPG≥6.1 mmol/L为空腹血糖受损(IFG)、FPG≥7.0 mmol/L为DM的判断标准。按每10岁年龄间隔进行分组统计分析。结果我校教职工健康体检人群FPG水平为(5.39±1.50)mmol/L,有随年龄增加而上升趋势。FPG最高水平在70~岁组(5.82±1.60)mmol/L,与70岁以下各组相比其差异有统计学意义(P<0.05)。男性FPG平均水平为(5.48±1.72)mmol/L,明显高于女性(5.27±1.13)mmol/L,差异有统计学意义(P<0.05)。IFG和DM总体检出率分别为7.44%和6.96%,40岁以上组有随年龄增加而上升现象,60岁以后维持在一个较高的水平,特别是男性人群。结论 FPG水平、IFG发生率、DM患病率随年龄增加总体呈上升趋势,应该重视高血糖、糖尿病发生的年轻化。健康体检DM筛查具有重要意义。
Objective To understand the fasting blood glucose (FPG) level and the distribution of hyperglycemia among college faculty members and to provide some scientific evidences for the screening of diabetes mellitus (DM) and the establishment of prevention and cure measures. Methods Glucose oxidase method was used to detect FPG in 3 979 healthy subjects. FPG <6.1 mmol / L was normal, 7.0> FPG≥6.1 mmol / L was impaired fasting glucose (IFG), FPG≥7.0 mmol / L was DM Judgment criteria. By 10-year-old age intervals for statistical analysis. Results The level of FPG in the health examination staff in our school was (5.39 ± 1.50) mmol / L, which increased with age. The highest level of FPG was in the group of 70 ~ (5.82 ± 1.60) mmol / L, which was significantly different from that of the group under 70 years old (P <0.05). The average level of FPG in males was (5.48 ± 1.72) mmol / L, which was significantly higher than that in females (5.27 ± 1.13) mmol / L, with statistical significance (P <0.05). The overall detection rates of IFG and DM were 7.44% and 6.96%, respectively. The prevalence of IFG and DM increased with age in the group over 40 years old and maintained at a higher level after 60 years of age, especially in the male population. Conclusion The levels of FPG, the prevalence of IFG and the prevalence of DM increase with the increase of age generally. It is necessary to pay attention to the rejuvenation of hyperglycemia and diabetes mellitus. Health examination DM screening is of great significance.