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1、温州市老年及老年询期空腹血糖增高人群的临床特征分析【关键词】，，空腹血糖受损；，，糖尿病；，，血压；，，血脂【摘要】目的探讨老年及老年前期人群空腹血糖(FBG)和相关指标的关系。方法以温州市15个居委会$50岁人群为对象,作随机整群抽样调查,测定FBG、血脂、血压、腰围、臀围、体质彊指数(BMI)等，按2003年美国糖尿病协会推荐的诊断空腹血糖受损(IFG)及糖尿病(DM)的标准，将1187例分为正常组、IFG组、DM组,统计分析FBG与各相关指标的关系。结果温州市$50岁人群IFG患病率为19.8%,DM患病率为138%,FBG升
2、高总计检出率高达33.6%,腰围、臀围、年龄、三酰甘油(TG)、总胆固醇(TC)、高密度脂责白胆周醇(HDLC)等指标与血糖直线相关(PvOOl)。逐步回归法多元线性冋归分析显示TG及TC是影响FBG水平的主耍因素。IFG组腰围、年龄、TG水平均高于止帘纽.，DM组TG、TC、HDLC水平高于止常纽，年龄、TG、TC、HDLC水平IFG+DM纽高于止常组，DM组TG水平高于IFG纽.(PvOO5)。结论在FBG超出止當范围的初期,12出现中心性肥胖、血脂代谢紊乱和口J能的血压升高的趋势。对250岁的老年前期及老年人，尤英是中心性肥胖
3、的髙危人群定期普查FBG并加以干预非常重要。【关键词】空腹血糖受损；糖尿病；血压；血脂ClinicalcharacteristicsoftheelderlyandpreelderlypeoplewithhighfastingplasmaglucoselevelinWenzhoucity,ChinaZHANGSuqin,WULianpin,CHENPeng,YANGPenglin,HEMoli,LIANGChengying.DepartmentofCardiology,theSecondAffiliatedHospitalofWenz
4、houMedicalCollege,Wenzhou325000,China【Abstract]ObjectiveTostudytherelationshipbetweenhigherfastingbloodglucose(FBG)andotherrelatedindexesintheelderlyandpreelderlypeople•MethodsThesurveywascarriedoutinthepeopleagedover50in15residentialdistrictsofWenzhoucity.Thepeoplewer
5、eselectedbyclustersampling・FBGfastingserumlipid,bloodpressure,waistandbuttockcircumferencesandbodymassindex(BMI)weredetected・Accordingto2(X)3criterionoftheexpertcommitteeonthediagnosisandclassificationofDMinAmericanDiabetesAssociation(ADA),1187casesweredividedintonorma
6、lFBGgroup,IFGgroupwereandDMgroup,andstatisticalanalysiswasperformedtoinvestigatetherelationshipbetweenFBGandrelatedindexes.Resu1tsTheprevalencerateofIFGandDMwas19.8%,13.8%respectively.ThetotaldetectionrateofhighFBGwas33.6%.TherelationsbetweenFBGandwais(,buttockcircumfe
7、rences,age,TG,TC,HDLCweresignificant(P<001).ThefactorsrelatedtoFBGwereTGandTC・Thelevelsofwaistcircumference,age,TGinIFGgroupwerehigherthanthoseinnonnalFBGgroup,thelevelsofTG,TC,HDLCinDMgrouphigherthanthoseinnormalFBGgroup,thelevelsofage,TGTC,HDLCinIFGplusDMgrouphighert
8、hanthoseinnormalFBGgroup,theTGlevelinDMgrouphigherthanIFGgroup(P<005).ConclusionsTheresultsshowthatobesity,abnomialfa
