干休所健康体检人群糖尿病的发病率及相关危险因素分析

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(P0.05)。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(P0.05)。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。

Diabetes Prevalence and Associated Risk Factors Analysis with the Results of Health Physical Examination

Objective:To explore the incidence of diabetes mellitus and related risk factors in the health check-up in order to provide a reference for the clinical prevention.Methods:To detect the FPG, OGTT 2 h, SBP, DBP, BMI, TC, LDL-C, HDL-C and TG of 500 patients who participate the health examination. And the relative risk factors of diabetes were analyzed by logistic analysis method.Results:Among the 500 cases, 167 were diagnosed with the diabetes, and the incidence of diabetes was 33.4%, among which 88 were males (52.7%) and 59 were females (47.31%). Compared with the healthy controls, the levels of SBP, DBP, BMI, TC, LDL-C, HDL-C and TG of patients with diabetes were statistically significant different (P<0.05). Logistic analysis results showed that the blood pressure, dyslipidemia and BMI were positively correlated with the incidence of diabetes (P<0.05).Conclusion:It is indicated that the high blood pressure and cholesterol, overweight and obesity would be the risk factors of diabetes which should be taken into consideration seriously.