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1. 重庆医科大学附属第一医院体检中心
2. 重庆医科大学附属第一医院神经内科
3. 重庆医科大学生化教研室
4. 重庆医科大学统计学教研室
5. 重庆医科大学附属第一医院内分泌科,重庆,400016
6. 重庆医科大学附属第一医院体检中心重庆医科大学附属第一医院神经内科重庆医科大学生化教研室重庆医科大学统计学教研室重庆医科大学附属第一医院内分泌科,重庆,400016
纸质出版日期:2007,
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[1]王永红,罗晶,王继红,钟晓妮,谢友红,谢微波,邓学洁,李启富.重庆市9528例体检人群糖代谢特点临床研究[J].重庆医科大学学报,2007(05):524-527.
Clinical research of glycometabolism feature of 9528 health examination people in Chongqing[J]. Journal of Chongqing Medical University, 2007,(5):524-527.
[1]王永红,罗晶,王继红,钟晓妮,谢友红,谢微波,邓学洁,李启富.重庆市9528例体检人群糖代谢特点临床研究[J].重庆医科大学学报,2007(05):524-527. DOI: 10.13406/j.cnki.cyxb.2007.05.015.
Clinical research of glycometabolism feature of 9528 health examination people in Chongqing[J]. Journal of Chongqing Medical University, 2007,(5):524-527. DOI: 10.13406/j.cnki.cyxb.2007.05.015.
目的:探讨重庆市体检人群血糖水平与糖代谢异常状况及影响因素。方法:根据2003年WHO糖尿病诊断标准将9528例调查对象按病史及空腹血糖分为空腹血糖正常组(NGT组)、空腹血糖受损组(IFG组)和糖尿病组(DM组)
了解体检人群中不同性别及不同年龄段糖代谢异常情况
采用多因素Logistic回归分析糖代谢异常与性别、年龄、体重指数(BMI)、血压和脂代谢的相关性。结果:9528例中NCT组8271例(86.81%)
IFG组943例(9.89%)、糖尿病组314例(3.30%)
其中体检人群男性糖代谢异常率明显高于女性
且随年龄增加空腹血糖水平异常发生有增加趋势(P<0.0001)。糖尿病组四项脂代谢异常的发生率均明显高于正常组
IFG组高TG
TC发生率高于正常血糖组。年龄、BMI、血压和血脂几项因素均对糖代谢异常发生率有显著影响;结论:糖代谢异常在重庆市体检人群中发生率较高。IFG和糖尿病患者脂代谢异常的发生率明显高于正常人。应加强对高危人群的定期体检
通过控制体重、血压、脂代谢异常等的相关因素以利于对糖代谢异常疾病的防治。
Objective:To investigate the blood sugar level of health examination people in Chongqing
and glyeometabolism ab- normality state and explore
the influencing factors.Methods:According to the patient history and fasting blood glucose
these 9528 individuals were divided into three groups as follows:including normal glucose tolerance(NGT)
impaired fasting blood glucose(IFG)
diabetes mellitus(DM)
based on the diagnosis standard by WHO in 2003.Then to compare the state of gly- cometabolism in different age and gender and analyze the incident rate of glycometabolism abnormality.The factors of glycometabolism disorders
including gender
age
BMI
blood press(BP)and lipid metabolism
were selected by multifactor Logistic regression.Results:In 9528 health examination people
there were 8271 people glycometabolism normal and the rate was(86.81%)
IFG group was 943 individuals and the rate was(9.89%)and DM group was 314 individuals and the rate was (3.30%).Compared men with women
glyeometsbolism disorders rate in men were higher evidently than in women.Moreover
blood-fasting sugar level paragenesis were significantly increased with the age(P<0.0001).Four indexes of lipid metabolism dis- order is more frequently to see in DM than in NGT
furthermore
the incidence rate of high TG
high TC were higher in IFG than in NGT.The results of multifactor Logistic regression showed that gender
age
BMI
BP and blood lipid affected significant- ly to glycometabolism disorders in Chongqing;Conclusion:The incidence rate of glycometabolism disorders is high in Chongqing.Lipid metabolism disorder is more frequently to see in IFG and DM than in NGT.So enhancing periodic physical examination for population and controlling the correlation factors
for instance
obesity
hypertension and lipid metabolism dis- orders are the best way to prevent and treat glycometabolism disorders disease.
糖代谢空腹血糖受损糖尿病logistic回归分析
glycometabolismIFGDMlogistic regression analysis
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