顾淑仪??郑晓芬??罗业洁

[摘要] 目的 调查深圳市宝安区健康体检人群空腹高血糖检出率及相关影响因素。 方法 收集体检人群的体检资料，将健康体检资料从全部的体检资料中检出，从中进一步筛检出高血糖者，并按性别将高血糖者分为男、女两组，将男、女两组按年龄段分组。高血糖者的筛检以空腹血糖值≥7.00mmol/L（126mg/dL）为判定标准。 结果 在69～79岁年龄范围男性检出率高于女性，差异具有统计学意义（P<0.05）。其它年龄组检出率差异无统计学意义（P>0.05）。绝经前后女性高血糖的检出率分别为3.05%和9.95%，绝经后检出率明显高于绝经前，差异有高度统计学意义（P<0.05）。 结论 高血糖患者的检出率随年龄的增大而增高，绝经后检出率明显高于绝经前，因此需要加强关于高血糖相关的健康教育宣传。

[关键词] 体检；高血糖；检出情况；影响因素

[中图分类号] R194.3 [文献标识码] A [文章编号] 2095-0616（2017）12-144-03

Analysis on detection of hyperglycemia of healthy people in baoan district in shenzhen

GU Shuyi ZHENG Xiaofen LUO Yejie

Medical Examination Center，Baoan District Chronic Disease Prevention and Treatment Center，Shenzhen 518101，China

[Abstract] Objective To investigate the detection rate and related influencing factors of fasting hyperglycemia of healthy people in Baoan district in Shenzhen. Methods Physical examination data of physical examination people were collected and healthy physical examination data were selected from all physical examination data.Patients with hyperglycemia were further selected and they were divided into the female group and the male group.The female group and the male group were grouped according to age.Fasting hyperglycemia≥7.00mmol/L（126mg/dL）was set as the standard for screening of patients with hyperglycemia. Results Detection rate of males with age ranging from 69 to 79 years old was higher than that of females with age ranging from 69 to 79 years old（P<0.05）.The difference was statistically significant.Difference in detection rates of other age groups had no statistically significance（P>0.05）.Detection rate before and after menopause of females were respectively 3.05% and 9.95%.Detection rate after menopause was higher than that before menopause（P<0.05）.The difference was statistically significant. Conclusion Detection rate of patients with hyperglycemia increases with age and detection rate after menopause was significantly higher than that before menopause.Therefore it is necessary to strengthen health education and propaganda related to hyperglycemia.

[Key words] Physical examination；Hyperglycemia；Detection；Influencing factor

隨着社会的不断发展，人们生活节奏加快，加之生活及饮食不规律，“潜伏”的高血糖者越来越多[1]。在正常情况下，人体能够通过激素调节和神经调节这两大调节系统，确保血糖的来源与去路保持平衡，使血糖值维持在一定水平[2-3]。但是在遗传因素（如糖尿病家族史）与环境因素（如不合理的膳食、肥胖等）的共同作用下使两大调节功能发生紊乱，就会出现血糖水平的升高[4]。长期高血糖会引起全身组织器官疾病，导致急、慢性并发症的发生。如失水、电解质紊乱，营养不足，免疫力下降，肾功能受损、眼底病变、神经病变、心脑血管疾病及糖尿病足等，严重会危及患者的生命安全，影响患者的生存质量。因此，加强对高血糖相关的健康教育宣传及定期体检势在必行。本研究对2014年3月～2016年9月我院健康体检的深圳市成年人群体检资料进行分析。……