中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
24期
35-37
,共3页
糖尿病%2型%认知%病例对照研究
糖尿病%2型%認知%病例對照研究
당뇨병%2형%인지%병례대조연구
Diabetes mellitus%Type 2%Cognition%Case-control study
目的：探讨糖尿病认知与2型糖尿病发病的2型糖尿病发病的影响因素，为开展社区糖尿病健康教育和健康促进提供科学依据。方法对兰州市年龄40岁以上的社区居民1454人进行空腹血糖及餐后2 h血糖测定，同时进行问卷调查和体格测量，获得2型糖尿病疾病认知水平、生活方式，身高、体重等信息。将无既往史而该次体检发现的糖尿病患者作为新发病例，无既往史该次血糖正常者作为对照组，采用单因素和多因素非条件Logistic回归分析筛选2型糖尿病的影响因素。结果糖尿病家族史（OR=2.098）、体重指数（OR=2.089）、年龄（OR=1.915）、饮食习惯（OR=1.206）、性别（OR=0.604）是2型糖尿病发病的主要影响因素。人群2型糖尿病认知水平平均得分为5.80分，认知水平普遍偏低。结论2型糖尿病家族史、肥胖、高年龄段、不良饮食习惯以及男性是提高发病风险的危险因素，控制体质量和饮食习惯是预防该病发生的重要手段。而糖尿病认知水平与发病之间未发现相关性。
目的：探討糖尿病認知與2型糖尿病髮病的2型糖尿病髮病的影響因素，為開展社區糖尿病健康教育和健康促進提供科學依據。方法對蘭州市年齡40歲以上的社區居民1454人進行空腹血糖及餐後2 h血糖測定，同時進行問捲調查和體格測量，穫得2型糖尿病疾病認知水平、生活方式，身高、體重等信息。將無既往史而該次體檢髮現的糖尿病患者作為新髮病例，無既往史該次血糖正常者作為對照組，採用單因素和多因素非條件Logistic迴歸分析篩選2型糖尿病的影響因素。結果糖尿病傢族史（OR=2.098）、體重指數（OR=2.089）、年齡（OR=1.915）、飲食習慣（OR=1.206）、性彆（OR=0.604）是2型糖尿病髮病的主要影響因素。人群2型糖尿病認知水平平均得分為5.80分，認知水平普遍偏低。結論2型糖尿病傢族史、肥胖、高年齡段、不良飲食習慣以及男性是提高髮病風險的危險因素，控製體質量和飲食習慣是預防該病髮生的重要手段。而糖尿病認知水平與髮病之間未髮現相關性。
목적：탐토당뇨병인지여2형당뇨병발병적2형당뇨병발병적영향인소，위개전사구당뇨병건강교육화건강촉진제공과학의거。방법대란주시년령40세이상적사구거민1454인진행공복혈당급찬후2 h혈당측정，동시진행문권조사화체격측량，획득2형당뇨병질병인지수평、생활방식，신고、체중등신식。장무기왕사이해차체검발현적당뇨병환자작위신발병례，무기왕사해차혈당정상자작위대조조，채용단인소화다인소비조건Logistic회귀분석사선2형당뇨병적영향인소。결과당뇨병가족사（OR=2.098）、체중지수（OR=2.089）、년령（OR=1.915）、음식습관（OR=1.206）、성별（OR=0.604）시2형당뇨병발병적주요영향인소。인군2형당뇨병인지수평평균득분위5.80분，인지수평보편편저。결론2형당뇨병가족사、비반、고년령단、불량음식습관이급남성시제고발병풍험적위험인소，공제체질량화음식습관시예방해병발생적중요수단。이당뇨병인지수평여발병지간미발현상관성。
Objective To investigate correlation between cognition and type 2 diabetes mellitus Pathogenesis, and factors affecting the incidence of type 2 diabetes mellitus, in order to provide scientific basis for the development of diabetes health education and health promotion in community. Methods Fasting blood glucose and postprandial 2H blood glucose were measured for the commu-nity residents 1454 aged 40 years or older in Lanzhou, information on disease cognition on type 2 diabetes mellitus, life style, height, weight, etc. were acquired. The diabetic patients who had no history and through medical examination, who were first diag-nosed with type 2 diabetes were treated as new cases, and who had no history and through medical examination, were diagnosed with normal blood glucose, treated as the control group, screening the influencing factors of type 2 diabetes by univariate and mul-tivariate unconditional logistic regression analysis. Results Main influencing factors for the incidence of type 2 diabetes mellitus were family history of diabetes mellitus (OR=2.098), age (OR=1.915), eating habits (OR=1.206), gender (OR=0.604). The average score of the cognitive level on type 2 diabetes was 5.80, and the level of cognition was generally low. Conclusions Family history of type 2 diabetes, obesity, high age, bad eating habits, and the risk factors for increasing the risk of the disease risk factors, control of body constitution, weight and eating habits is an important means to prevent the occurrence of the disease. The correlation was not found between the cognition levels and the incidence of diabetes.
