CAJ | 학술논문

目的：在多社区未确诊糖尿病人群中，验证中国糖尿病风险评分与患糖尿病危险度的相关性。方法：采用多阶段分层整群随机抽样方法，2014年1月26日-11月26日抽取河南省平顶山地区多个社区＞20岁无糖尿病病史常住居民2104例，进行问卷调查、体格检查和75 g葡萄糖耐量(OGTT)试验，检测糖化血红蛋白(HbA1c)和OGTT空腹及2 h血糖等，以“中国糖尿病风险评估表”进行评分。结果：纳入研究者1885例，按照OGTT试验结果分为正常组(1372例)、糖调节受损组(421例)和糖尿病组(92例)。随着糖尿病风险评分的增加，空腹血糖、OGTT 2 h血糖、HbA1c均显著增加，差异有统计学意义(P＜0.05)。结论：中国糖尿病风险评分表可以作为多社区未确诊的2型糖尿病人群的可靠筛查工具。
목적：재다사구미학진당뇨병인군중，험증중국당뇨병풍험평분여환당뇨병위험도적상관성。방법：채용다계단분층정군수궤추양방법，2014년1월26일-11월26일추취하남성평정산지구다개사구＞20세무당뇨병병사상주거민2104례，진행문권조사、체격검사화75 g포도당내량(OGTT)시험，검측당화혈홍단백(HbA1c)화OGTT공복급2 h혈당등，이“중국당뇨병풍험평고표”진행평분。결과：납입연구자1885례，안조OGTT시험결과분위정상조(1372례)、당조절수손조(421례)화당뇨병조(92례)。수착당뇨병풍험평분적증가，공복혈당、OGTT 2 h혈당、HbA1c균현저증가，차이유통계학의의(P＜0.05)。결론：중국당뇨병풍험평분표가이작위다사구미학진적2형당뇨병인군적가고사사공구。
Objective:In undiagnosed diabetes population of many communities,to investigate the correlation between the diabetes risk score table of China and diabetes risk degree.Methods:By using a stratified cluster random sampling method,from 26 January 2014 to 26 November 2014,we selected 2 104 residents over 20 years of age without history of diabetes mellitus in many communities of pingdingshan city of henan province.They were given a questionnaire survey,physical examination and 75 g oral glucose tolerance test (OGTT),and glycosylated hemoglobin(HbA1c) and OGTT of fasting and 2 hours glucose were detected."The diabetes risk score table of China" was used to score.Results:1 885 cases were included in the study.According to the OGTT results,they were divided into the normal group(1 372 cases),impaired glucose regulation group(421 cases) and diabetes mellitus group(92 cases).With the increase of diabetes risk score,fasting blood glucose,OGTT,2 hours glucose,HbA1c were significantly increased,and the difference was statistically significant(P<0.05).Conclusion:The diabetes risk score table of China can be used as a reliable screening tool in undiagnosed diabetes population of many communities.