CAJ | 학술논문

目的探索社区糖尿病优先筛查人群的选择依据.方法利用2010年中国慢性病与危险因素监测浙江省的数据,采用决策树方法对社区全人群以及男性、女性、年龄大于45岁、高血压、血脂异常、超重肥胖、腰围增大7类不同特征人群进行分类分析.结果腰围增大并伴有糖尿病家族史的人群是社区全人群糖尿病优先筛查人群,该人群糖尿病患病率为28.21％ (11/39).7类不同特征人群糖尿病优先筛查人群及其患病率均不一致.对社区全人群糖尿病优先筛查人群进行筛查,平均发现每例糖尿病筛查成本为71元,其中超重肥胖人群平均发现每例糖尿病筛查成本最低(38元),男性人群平均发现每例糖尿病筛查成本最高(84元).结论利用决策树法可以得出腰围增大并伴有糖尿病家族史的人群糖尿病患病率较高,该方法确定糖尿病优先筛查人群需要调查的危险因素更少,操作也更加简便,更适合社区用于糖尿病筛查.
목적 탐색사구당뇨병우선사사인군적선택의거.방법 이용2010년중국만성병여위험인소감측절강성적수거,채용결책수방법대사구전인군이급남성、녀성、년령대우45세、고혈압、혈지이상、초중비반、요위증대7류불동특정인군진행분류분석.결과 요위증대병반유당뇨병가족사적인군시사구전인군당뇨병우선사사인군,해인군당뇨병환병솔위28.21％ (11/39).7류불동특정인군당뇨병우선사사인군급기환병솔균불일치.대사구전인군당뇨병우선사사인군진행사사,평균발현매례당뇨병사사성본위71원,기중초중비반인군평균발현매례당뇨병사사성본최저(38원),남성인군평균발현매례당뇨병사사성본최고(84원).결론 이용결책수법가이득출요위증대병반유당뇨병가족사적인군당뇨병환병솔교고,해방법학정당뇨병우선사사인군수요조사적위험인소경소,조작야경가간편,경괄합사구용우당뇨병사사.
Objective To provide clues for the community to choose appropriate diabetes screening populations.Methods The data of chronic disease and risk factor survey in Zhejiang Province in 2010 were used in the study.The community residents,and residents with different characteristics,including male,female,age over 45,hypertension,dyslipidemia,overweight and obesity,large waist circumstance were used to analyze by the decision tree method.Results The priority screening population for community residents for diabetes were the population with large waist circumstance and family history of diabetes mellitus.The prevalence rate of DM for this population was 28.21％ (11/39).The priority screening populations and their prevalence rate were different for residents with seven different characteristics.The priority screening population were screened,and the average screening cost for one case was 71 RMB.Among these cases,the average screening cost in overweight and obesity population were the lowest (38 RMB),and in male population were the highest (84 RMB).Conclusions By applying the decision tree,it is obvious that the prevalence rate of people who have large waist circumstance and family history is higher.The adopted method to confirm diabetes priority population has less risk factor and simpler operation,which is more suitable for disease screaming in community.