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目的分析糖尿病高危人群的筛查结果,进一步指导社区糖尿病防治工作。方法采用危险因素计分法,对符合条件的人群进行问卷调查,初筛阳性的人群进行OGTT试验。结果筛查高危人群1 037名,初筛阳性620例,阴性417例。复查中糖尿病患者检出率为17.93%(186/1 037),糖调节受损检出率为19.48%(202/1 037)。肥胖及超重人群糖尿病检出率显著高于体重正常人群。筛查对象存在较高的患糖尿病危险因素的聚集性,随着高危因素聚集个数的增多,糖尿病及IGR检出率逐渐增高。结论应加强糖尿病高危人群的综合防治,提高人群健康意识,改变不良的生活方式,降低糖尿病的患病率。
Objective To analyze the screening results of people at high risk of diabetes to further guide the prevention and treatment of community diabetes. Methods According to the scoring method of risk factors, the eligible population was surveyed and OGTT test was conducted in the positive population. Results A total of 1 037 high-risk patients were screened. There were 620 positive cases and 417 negative cases. In the review, the detection rate of diabetic patients was 17.93% (186/1 037), and the detection rate of impaired glucose regulation was 19.48% (202/1 037). The prevalence of diabetes in obese and overweight people was significantly higher than that in normal weight people. There was a high risk of diabetes screening for the aggregation of risk factors, with the increase in the number of high-risk factors, diabetes and IGR detection rate gradually increased. Conclusion It is necessary to strengthen the comprehensive prevention and treatment of high risk population of diabetes, improve people’s health awareness, change unhealthy life style and reduce the prevalence of diabetes.