CAJ | 학술논문

目的本研究旨在评估大港油田地区成人糖尿病的患病率.方法对2009年5月至2011年10月在大港油田总医院查体中心体检的3000名20岁以上成年人进行研究.经过一夜禁食,受试者行75 g口服葡萄糖耐量试验,根据空腹血糖和餐后2h血糖水平来诊断糖尿病和糖尿病前期,同时测量身高、腹围、血压、血脂.对糖调节受损[空腹血糖受损(IFG)+糖耐量减低(IGT)]者行24h尿微量白蛋白及眼底照相检查.结果糖尿病患病率随年龄增长而升高(20～ 39岁人群3.6％,40 ～ 59岁人群11.9％,大于 60岁人群21.6％),也随体重增加而升高.体重指数(BMI) 20.0 ～24.9 kg/m2人群8.2％ 25.0～27.9 kg/m2人群13.6％、≥28 kg/m2人群20.2％].糖调节受损者中9.8％出现24 h尿微量白蛋白升高,10.1％出现眼底病变.结论大港油田地区成年人糖尿病和糖尿病前期患病率较高.早期诊断、早期预防尤为重要.
목적 본연구지재평고대항유전지구성인당뇨병적환병솔.방법 대2009년5월지2011년10월재대항유전총의원사체중심체검적3000명20세이상성년인진행연구.경과일야금식,수시자행75 g구복포도당내량시험,근거공복혈당화찬후2h혈당수평래진단당뇨병화당뇨병전기,동시측량신고、복위、혈압、혈지.대당조절수손[공복혈당수손(IFG)+당내량감저(IGT)]자행24h뇨미량백단백급안저조상검사.결과 당뇨병환병솔수년령증장이승고(20～ 39세인군3.6％,40 ～ 59세인군11.9％,대우 60세인군21.6％),야수체중증가이승고.체중지수(BMI) 20.0 ～24.9 kg/m2인군8.2％ 25.0～27.9 kg/m2인군13.6％、≥28 kg/m2인군20.2％].당조절수손자중9.8％출현24 h뇨미량백단백승고,10.1％출현안저병변.결론 대항유전지구성년인당뇨병화당뇨병전기환병솔교고.조기진단、조기예방우위중요.
Objective To assess the prevalence of diabetes in adults living in the Dagang Oilfield.Methods A total of 3000 adults over 20 years old who were taken examination between May 2009 and October 2011 at the examination center of Dagang Oilfield general hospital were screened.After a night of fasting,75 g oral glucose tolerance test were conducted for each subject.Fasting plasma glucose and postprandial 2 h glucose levels were measured to diagnose diabetes and pre-diabetes.Height,abdominal circumference,blood pressure,blood lipids were also assessed.Individuals with impaired glucose regulation [ impaired fasting glucose (IFG) + impaired glucose tolerance (IGT) ] underwent examination of 24 h urinary albumin and fundus photography.Results Prevalence of diabetes increased with age (3.6％ in 20 to 39-year-old group,11.9％ in 40 to 59-year-old group,21.6％ in over 60-year-old group) and weight [ population in body mass index (BMI) of 20.0～24.9 kg/m2 is 8.2％,25.0 to 27.9 kg/m2 is 13.6％,≥28 kg/m2 is 20.2％).24 h urinary albumin increased in 9.8％ of subjects with impaired glucose regulation and retinopathy were detected in 10.1％ of them.Conclusions The prevalence of diabetes and prediabetes in adults living in Dagang Oilfield is high.Thus,early diagnosis and prevention is particularly important.