摘要
目的了解泸州市18岁及以上人群空腹血糖受损(IFG)情况及影响因素,为今后泸州市糖尿病防治提供科学依据。方法 "四川省基层医疗卫生机构信息系统"泸州市961 137成人健康体检数据,应用SPSS 19.0软件进行数据的统计分析。结果 18岁及以上非糖尿病患者876 571人中,IFG率为11.20%(标化率8.07%),其中女性11.67%(标化率8.41%)高于男性10.60%(标化率7.63%)。IFG率有随年龄增长而升高的趋势(χ_(趋势)~2=10 245,P<0.05),但随文化程度升高而降低(χ_(趋势)~2=3 560.5,P<0.05)。经多因素Logistic回归分析,女性、高龄、高BMI、中心性肥胖、高血压、高血脂、饮酒是IFG的危险因素,文化程度高是其保护因素。结论泸州市糖尿病防控形势严峻,应对空腹血腹受损人群实施健康管理:针对危险因素开展个性化的健康干预,定期监测其血糖血压等指标,评价其改变情况,进一步实施干预直至血糖指标正常。
Objective To explore the status and influencing factors of impaired fasting glucose（ IFG） among adults in Luzhou and provide evidence for the prevention and control of diabetes mellitus. Methods Health examination data of 961 137 adults in Sichuan Basic Medical Institution Information System were analyzed using SPSS 19. 0 software. Results Among 876 571 non-diabetic patients aged 18 and above,the IFG rate was11. 20%（ standardized rate 8. 07%）; the IGF rate was 11. 67%（ standardized rate 8. 41%） in females and10. 60%（ standardized rate 7. 63%） in females. The IFG rate showed an increasing trend with age（ χ2=10 245,P 〈0. 05） and declined with education level（ χ2= 3 560. 5, P〈 0. 05）. Multi-factor Logistic regression analysis showed that risk factors of IFG were female sex,high age,high BIM,central obesity,hypertension,hyperlipidemia and drinking,while high educational level was a protective factor. Conclusion The diabetes mellitus situation is challenging in Luzhou. It is essential to take health measures in IFG people such as individualized health intervention,periodic monitoring of blood glucose and pressure and evaluation of changes, followed by further intervention until blood glucose returns to normal.
作者
张燕
吴田勇
雷智
王小艳
李道西
ZHANG Yan;WU Tianyong;LEI Zhi;WANG Xiaoyan;LI Daoxi(Luzhou Center for Disease Control and Prevention, Luzhou 646000, Sichuan Province, China)
出处
《预防医学情报杂志》
CAS
2018年第7期951-955,共5页
Journal of Preventive Medicine Information
