洪春霞　王益丽　田江宣

[摘要] 目的 探讨健康体检人员2型糖尿病的患病率情况，并对发病的危险因素进行分析。 方法 选取2016年7月～2017年7月在我院体检中心具有完整资料的1000名健康体检人员进行探讨和分析，统计发生2型糖尿病的例数，比较糖尿病组与非糖尿病组的平均年龄、男性比率、BMI、腰围、TC、TG及HDL-C、LDL-C及SBP、DBP水平，并进行2型糖尿病发病的危险因素分析。 结果 1000名健康体检患者中2型糖尿病的患病率为26.0%。40～49岁的2型糖尿病患病率为1.9%、50～59歲为4.9%、60岁及以上为9.3%，2型糖尿病的患病率随年龄增长呈逐年递增趋势。糖尿病组患者的平均年龄、男性比率、BMI、腰围TC、TG及HDL-C、LDL-C水平、SBP、DBP与非糖尿病组比较，差异有统计学意义（P<0.05）。BMI、腰围、TC、TG、SBP、DBP为2型糖尿病发病的危险因素。 结论 2型糖尿病已成为影响居民健康的重要疾病之一，而高血压、肥胖和高血脂等均为影响2型糖尿病患者发病的危险因素，因此，要加强人们健康知识的宣教、提高人们的自我保护意识，改变生活方式，加强体力活动、控制体重、定期进行血糖检测，才能预防和减少2 型糖尿病的发生。

[关键词] 2型糖尿病；健康体检人员；患病率；危险因素

[中图分类号] R587.1 [文献标识码] B [文章编号] 1673-9701（2018）23-0068-03

Prevalence and risk factors analysis of type 2 diabetes in 1000 health examination staff

HONG Chunxia1 WANG Yili2 TIAN Jiangxuan3

1.Physical Examination Center， Lishui People's Hospital in Zhejiang Province， Lishui 323000， China； 2.Department of Neurosurgery， Lishui Central Hospital in Zhejiang Province， Lishui 323000， China； 3.Department of Endocrinology， Lishui People's Hospital in Zhejiang Province， Lishui 323000， China

[Abstract] Objective To investigate the prevalence of type 2 diabetes in health examination staff and analyze the risk factors of the disease. Methods A total of 1000 health examination staff with complete data from July 2016 to July 2017 in our center were investigated and analyzed. The number of cases of type 2 diabetes was counted. The average age， male ratio， BMI， waistline and the levels of TC， TG， HDL-C， LDL-C， SBP and DBP between the diabetic group and non-diabetic group were compared. And risk factors for type 2 diabetes were analyzed. Results The prevalence of type 2 diabetes in 1000 health examination patients was 26.0%. The prevalence of type 2 diabetes in 40-49 years old was 1.9%， and 4.9% in 50-59 years old， and 9.3% in people aged greater than or equal to 60. The prevalence of type 2 diabetes increased year by year with age. The average age， male ratio， BMI， waistline， TC， TG， HDL-C， LDL-C levels， SBP， DBP in diabetic patients were significantly different from those in non-diabetic patients（P<0.05）. BMI， waistline， TC， TG， SBP， DBP were the risk factors of type 2 diabetes. Conclusion Type 2 diabetes has become one of the most important diseases affecting the health of residents， and hypertension， obesity and hyperlipidemia are all risk factors that affect the incidence of type 2 diabetes. Therefore， in order to prevent and reduce the occurrence of type 2 diabetes， it is necessary to strengthen people's awareness of health education， improve people's awareness of self-protection， change their life style， strengthen their physical activity， control their body weight and carry out regular blood glucose tests.

[Key words] Type 2 diabetes； Health examination staff； Prevalence； Risk factors

糖尿病（DM）是一组由胰岛素分泌缺陷引起的以高血糖为主要特征的代谢性疾病。2型糖尿病占糖尿病总数的90%～95%[1]。近年来随着人们生活水平的不断提高，使2型糖尿病（T2DM）的发病率逐年升高[2]。因此，了解2型糖尿病的患病危险因素，旨在为糖尿病的预防起到重要作用。本研究旨在明确体检人群T2DM的患病率及危险因素，现报道如下。

1 资料与方法

1.1 临床资料

选取2016年7月～2017年7月在我院体检中心具有完整资料的1000名健康体检人员进行探讨和分析。纳入标准[11]：年龄22岁及以上。其中男486 例，平均年龄（43.86±25.06）岁；女514例，平均年龄（43.52±11.24）岁。

1.2 研究方法

调查研究对象的年龄、性别、民族、BMI（身体质量指数，简称体质指数又称体重指数，Body Mass Index，BMI）、血压值、腰围、空腹血糖、血脂状况、糖尿病家族史、是否过量饮酒、饮食状况、体育活动、生产婚育史等。……