现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2015年
1期
24-27
,共4页
血糖%葡糖耐受不良%糖尿病/流行病学%年龄因素%Meta分析%空腹血糖受损
血糖%葡糖耐受不良%糖尿病/流行病學%年齡因素%Meta分析%空腹血糖受損
혈당%포당내수불량%당뇨병/류행병학%년령인소%Meta분석%공복혈당수손
Blood glucose%Glucose intolerance%Diabetes mellitus/epidemiology%Age factors%Meta-analysis%Ompaired fasting glucose
目的：了解我国40岁以下健康体检人群空腹血糖异常情况及特征。方法通过在万方数据库、维普数据库及中国知网数据库检索文献，采用系统综述及荟萃分析方法分析文献。结果共纳入23篇文献，分析得出我国40岁以下健康体检人群合并空腹血糖异常（空腹血糖值大于6.1 mmol/L）的发生率为4.68%（95%CI 3.79%~5.57%）。30~<40岁年龄段人群空腹血糖受损的发生率及糖尿病患病率（4.64%、1.28%）较小于30岁年龄段人群（1.07%、0.42%）明显提高；且40岁以下人群男性比女性有更高的空腹血糖异常风险[OR=2.22（95%CI 1.51~3.27）]。结论应加强对40岁以下人群进行糖尿病健康宣教及管理，为健康体检单位提供参考意见。
目的：瞭解我國40歲以下健康體檢人群空腹血糖異常情況及特徵。方法通過在萬方數據庫、維普數據庫及中國知網數據庫檢索文獻，採用繫統綜述及薈萃分析方法分析文獻。結果共納入23篇文獻，分析得齣我國40歲以下健康體檢人群閤併空腹血糖異常（空腹血糖值大于6.1 mmol/L）的髮生率為4.68%（95%CI 3.79%~5.57%）。30~<40歲年齡段人群空腹血糖受損的髮生率及糖尿病患病率（4.64%、1.28%）較小于30歲年齡段人群（1.07%、0.42%）明顯提高；且40歲以下人群男性比女性有更高的空腹血糖異常風險[OR=2.22（95%CI 1.51~3.27）]。結論應加彊對40歲以下人群進行糖尿病健康宣教及管理，為健康體檢單位提供參攷意見。
목적：료해아국40세이하건강체검인군공복혈당이상정황급특정。방법통과재만방수거고、유보수거고급중국지망수거고검색문헌，채용계통종술급회췌분석방법분석문헌。결과공납입23편문헌，분석득출아국40세이하건강체검인군합병공복혈당이상（공복혈당치대우6.1 mmol/L）적발생솔위4.68%（95%CI 3.79%~5.57%）。30~<40세년령단인군공복혈당수손적발생솔급당뇨병환병솔（4.64%、1.28%）교소우30세년령단인군（1.07%、0.42%）명현제고；차40세이하인군남성비녀성유경고적공복혈당이상풍험[OR=2.22（95%CI 1.51~3.27）]。결론응가강대40세이하인군진행당뇨병건강선교급관리，위건강체검단위제공삼고의견。
Objective To investigate abnormalities and characters of fasting plasma glucose (FPG) in healthy examinees under 40 years old in China. Methods We adopted systematic review and comprehesive analysis to analyze references by Wan-fang Data,CQVIP and CNKI databases. Results A total of 23 studies were included in this meta-analysis,whose results domon-strated that the pooled incidence of abnormal FPG(FPG>6.1 mmol/L) was 4.68%(3.79%-5.57%,95%CI). Compared with the popu-lation under 30 years old(1.07%,0.42%),the incidence of impaired fasting glucose(IFG) and prevalence of diabetes mellitus(DM) (4.64%,1.28%) in the population during 30-<40 years old were increased significantly. The male had a higher risk of being di-agnosed with abnormal FPG[OR=2.22(1.51-3.27,95%CI)] than the female among the population under 40 years old. Conclu-sion The research result highlights that early pre-diabetes health education and management to the population under 40 years old is necessary,which is provided references for the examination organizations.
