CAJ | 학술논문

目的了解空腹血糖受损(IFG)切点下调后对糖调节受损(IGR)状况的影响.方法收集1896例完整的健康体检资料并分别按年龄和不同空腹血糖水平进行分组,采用卡方检验进行统计学分析.结果 IFG诊断标准下调后IFG患病例数增加271例,IFG患病率由13.1%增至27.4%,两者比较差异有统计学意义(x2=62.68,P＜0.05),正常糖耐量由60.3%降至47.5%,两者比较差异有统计学意义(x2=120.03,P＜0.05).空腹血糖5.6～6.0 mmol/L组与＜5.6 mmol/L组及与6.1～6.9 mmol/L组比较,在超重或肥胖、高血压、高血脂、脂肪肝及心电图异常方面比较,差异均有统计学意义(P＜0.05).结论 IFG切点下调后对武汉该地区IGR分布有显著影响,新增单纯IFG人群已出现糖、脂代谢异常,应引起重视并及早进行干预治疗.
목적 료해공복혈당수손(IFG)절점하조후대당조절수손(IGR)상황적영향.방법 수집1896례완정적건강체검자료병분별안년령화불동공복혈당수평진행분조,채용잡방검험진행통계학분석.결과 IFG진단표준하조후IFG환병례수증가271례,IFG환병솔유13.1%증지27.4%,량자비교차이유통계학의의(x2=62.68,P＜0.05),정상당내량유60.3%강지47.5%,량자비교차이유통계학의의(x2=120.03,P＜0.05).공복혈당5.6～6.0 mmol/L조여＜5.6 mmol/L조급여6.1～6.9 mmol/L조비교,재초중혹비반、고혈압、고혈지、지방간급심전도이상방면비교,차이균유통계학의의(P＜0.05).결론 IFG절점하조후대무한해지구IGR분포유현저영향,신증단순IFG인군이출현당、지대사이상,응인기중시병급조진행간예치료.
Objective To analyze the effect of lowering the upper limit of normal fasting glucose on the distribution of impaired gheose regulation(IGR)in the population in Wuhan urban area.Methods The health profiles of 1896 people after physical examinations were analyzed by X2 test.Results The low limit for impaired fasting glucose(IFG)was decreased from 6.1 to 5.6 mmol/L,IFG increased 271 patients.the prevalence of IFG increased from 13.1%to 27.4%(X2=62.68,P<0.05),and the value of normal glucose test decreased from 60.3%to 47.5%(X2=120.03,P<0.05).Overweisht or obesity,hypetention,fatty liver,hyperlipidemia,ECG abnormality were significantly different(P<0.05)in groups of fasting glucose 5.6-6.0 mmol/L to<5.6 mmol/L and to 6.1-6.9 mmol/L Conclusion The new cut point of IFG has significantly influenced the distribution of IGR in the population of Wuhan urban areas.In the newly IFG.increased subjects,metabolic abnormalities of glucose and lipid occur,and an intervention of life-style is needed for them.