CAJ | 학술논문

目的：对石河子市868名社区糖尿病高危人群的一般情况及危险因素进行调查分析，为石河子市社区有效预防、诊治糖尿病提供依据。方法采用随机抽样方法，依据《中国糖尿病防治指南》中的糖尿病高危人群筛查标准筛查，并对该人群的性别、年龄、身体质量指数、腰臀比、血压、家族史、心血管疾病等情况进行测定、记录、分析。结果共筛查出糖尿病高危人群868人，其中男性356人，占41.0％；女性512人，占59.0％。平均年龄为（66.71±9.11）岁，以65～74岁年龄段人群居多，占所有年龄段的40.1％。筛查中发现，该组人群超重和肥胖的比例高达73.16％。其中，男性肥胖比例高达56.46％，女性肥胖比例高达66.99％。并且，高危人群组的血压均数值为收缩压（129.26±13.28）mmHg，舒张压（81.87±33.89）mmHg，血压均值都较正常值（120／80 mmHg）高。在糖尿病患病因素分布情况中，有糖尿病家族史人群占86.06％，既往有高血压病史人群占70.0％。结论本次调查人群中，中老年人占绝大多数，有肥胖、高血压、糖尿病家族史情况较普遍。因此，有必要对高危人群进行早期健康管理，以降低糖尿病发病率，减少并发症发生率。
목적：대석하자시868명사구당뇨병고위인군적일반정황급위험인소진행조사분석，위석하자시사구유효예방、진치당뇨병제공의거。방법채용수궤추양방법，의거《중국당뇨병방치지남》중적당뇨병고위인군사사표준사사，병대해인군적성별、년령、신체질량지수、요둔비、혈압、가족사、심혈관질병등정황진행측정、기록、분석。결과공사사출당뇨병고위인군868인，기중남성356인，점41.0％；녀성512인，점59.0％。평균년령위（66.71±9.11）세，이65～74세년령단인군거다，점소유년령단적40.1％。사사중발현，해조인군초중화비반적비례고체73.16％。기중，남성비반비례고체56.46％，녀성비반비례고체66.99％。병차，고위인군조적혈압균수치위수축압（129.26±13.28）mmHg，서장압（81.87±33.89）mmHg，혈압균치도교정상치（120／80 mmHg）고。재당뇨병환병인소분포정황중，유당뇨병가족사인군점86.06％，기왕유고혈압병사인군점70.0％。결론본차조사인군중，중노년인점절대다수，유비반、고혈압、당뇨병가족사정황교보편。인차，유필요대고위인군진행조기건강관리，이강저당뇨병발병솔，감소병발증발생솔。
Objective To determine the general condition and the high risk factors analysis of 868 community diabetes patients with high risk in Shihezi City , and to provide the basis to prevent and diagnose the diabetes mellitus for Shihezi communities .Methods Using random sampling method , and screening high-risk groups based on the Chinese Type 2 Diabetes Prevention Guide.And determining , analy-zing and recording these risk factors , such as on the population′s gender, age, BMI, WHR, blood pressure, family history, cardiovascular disease and other conditions.Results There were 868 diabetes high risk adolescents through this health -screening program.There were 356 (41.0%) males and 512( 59.0%) females;the average age of the crowd was (66.71 ±9.11 ), mainly concentrated in the 65~74 years crowd, accounting for 40.1%of all ages.The screening found the overweight and obesity rates as high as 73.16%in the group, in which the male obesity as much as 56.46%and obesity in females as much as 66.99%.And the systolic pressure of high-risk population groups values was (129.26 ±13.28 ) mmHg, diastolic blood pressure was (81.87 ±33.89 ) mmHg.It was lower than the normal values (120/80 mmHg).In the distribution of the diabetes risk factors , family history of diabetes population was 86.06%and 70.0%had a his-tory of hypertension crowd.Conclusion In the survey population, the vast majority population is olders.The obesity, high blood pressure and family history of diabetes are more common.Therefore, there is a need for early health managing in high risk population , to reduce the incidence of diabetes and the incidence of complications.