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探讨糖尿病(DM)空腹血糖(FPG)诊断标准,以及口服葡萄糖耐量试验(OGTT)在DM诊断中的价值。方法:2 016例可疑糖尿病受试者均接受 OGTT试验。以服糖后 30或 60和 120分的血糖均≥11.1mmol/L作为诊断DM的标准。按 FPG分别≥7.8、7.0、6.7、6.1、5.6和 5.0 mmol/L由计算机进行分组统计。结果:FPG≥7.8 mmol/L的 DM检出率为 78.09%(1048例/1 342例),漏诊率为21.91%(294例/1 342例),误诊率为3.1%(33例/1 081例);FP≥7.0 mmol/L的 DM检出率为 86.9%(1167例/1 342例),漏诊率为 13.0%(175例/1 342例),误诊率5.6%(69例/1 236例);FPG≥6.1mmol/L的DM检出率为94.7%(1271例/1 342例),漏诊率5.3%(71例/1 342例),误诊率10.8%(154例/1 425例)。直线相关分析表明 FPG与服糖后 120分的血糖水平呈正相关(r=0.863 9,P<0.0001)。当FPG≥6.1mmol/L时服糖后120分血糖为11.06 mmol/L(199.0 m
To investigate the diagnostic criteria of fasting plasma glucose (FPG) in diabetes mellitus (DM) and the value of oral glucose tolerance test (OGTT) in the diagnosis of DM. METHODS: Totally 2 016 suspected diabetic subjects underwent OGTT. Serum glucose at 30 or 60 and 120 minutes after treatment was ≥11.1 mmol / L as the standard for DM diagnosis. By FPG were ≥ 7.8, 7.0,6.7,6.1,5.6 and 5.0 mmol / L by the computer grouping statistics. Results: The detection rate of DM with FPG ≥ 7.8 mmol / L was 78.09% (1048 cases / 1 342 cases), the missed diagnosis rate was 21.91% (294 cases / 1 342 cases), the misdiagnosis rate was 3. (33 cases / 1 081 cases). The detection rate of DM with FP≥7.0 mmol / L was 86.9% (1167 cases / 1 342 cases), the rate of missed diagnosis was 13.0% (175 cases / 1 342 cases). The misdiagnosis rate was 5.6% (69 cases / 1 236 cases). The detection rate of FP with FPG≥6.1mmol / L was 94.7% (1271 cases / 1 342 cases) % (71 cases / 1 342 cases), the misdiagnosis rate was 10.8% (154 cases / 1 425 cases). Linear correlation analysis showed that there was a positive correlation between FPG and blood sugar level at 120 points (r = 0.863 9, P <0.0001). When FPG≥6.1mmol / L, the blood sugar of 120 minutes after oral administration of sugar was 11.06 mmol / L (199.0 m