209例糖尿病高危人群筛查.docVIP

209例糖尿病高危人群筛查结果分析 张丽，庞莹 天津市武清区中医医院，301700 [摘要]目的：通过对糖尿病高危人群筛查工作，了解高危人群的患病情况和特点。方法：对高危人群进行血压、血糖、体质指数、腰围、体质辨识的测量和分析。结果：参与筛查的高危人群主要为年龄≥45岁、超重肥胖者、高血压病患者和2型糖尿病的一级亲属。209名筛查人员中只有31.1%血压达标，并且体质指数和腰围超标严重，异常比例分别达到62.2%和72.7%。人群体质中平和质最多；血糖异常人群中体质偏颇者居多，以痰湿质、气虚质、阴虚质为多。结论：本次筛查糖尿病的阳性检出率明显高于全国平均水平，应加强糖尿病健康教育，尤其是对糖尿病高危人群应给予更多关注。 [关键词]高危人群；糖尿病筛查；糖尿病防治 The Analysis of Diabetes Screening in High-Risk 209 Individuals Zhang Li,Pang Ying. Wuqing Hospital of traditional Chinese Medicine ,Tianjin,301700 [Abstract]Objective:By means of Diabetes screening in high-risk Individuals,to know about their disease features.Methods: To measure and analyse high-risk individuals of blood pressure,blood glucose,body mass index(BMI),waistline,constitution of Traditional Chinese Medicine.Results: The majority of participation in screening personnels were over 45-year-old,Overweight,patients with hypertension and first-degree relatives of type 2 diabetes.Only 31.1% persons of blood pressure were controlled.The rate of exceeded the standard in BMI and waistline were 62.2% and 72.7%.The most of constitution of Traditional Chinese Medicine were constitution of yin-yang harmony. The most of persons on pathoglycemia were constitution of phlegm-dampness,qi stagnation and yin asthenia.Conclusion: The positive rate of diabetes mellitus was higher than the national average.We should strengthen health education on diabetes mellitus.Especially we give more attention to high-risk ———————————————— [作者简介] 张丽，主任医师，从事糖尿病及其并发症的临床研究。 庞莹，主治医师，从事内分泌疾病的临床和研究工作。 indiveduals for diabetes. [Key words]High-risk indiveduals;Diabetes Screening;The prevention of diabetes 由于2型糖尿病发病早期大多无特异症状，因此人群中存在大量未诊断的糖尿病患者。当这些患者一旦确诊，他们中的大部分人已经出现并发症，严重影响到患者的身心健康。通过对高危人群糖尿病的筛查可以使大量的未诊断糖尿病患者得到早期发现、早期诊断和早期治疗，以延缓或减少并发症的发生，降低死亡率，提高生存质量。从筛查成本效果综合比较来看，高危人群筛检是目前社区最佳的人群筛查模式。[1]我们通过对某时间段的高危人群进行筛查，发现糖尿病的阳性检出率明显高于全国11.6%的发病率和50.1%的糖尿病前期患病率，具体筛查分析如下。 1一般资料与方法 1.1一般资料：对2014年5月——2014年6月的18岁以上门诊患者和常住人口进行糖尿病高危人群筛查，筛查内容包括姓名、性别、年龄、身高、体重、体质指数、腰