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目的 探讨Ⅱ型糖尿病的危险因素以及心理因素与糖尿病发生的关系。方法 选择 99例住院的糖尿病新发病例 ,进行 1∶2配比的病例对照研究 ,并利用SCL - 90症状自评表测量研究对象的心理状况。结果 多元条件Logis tic回归分析结果表明 ,糖尿病家族史OR为 1 881(1 12 2～ 3 15 3) ,吸烟OR为 1 5 85 (1 0 5 3～ 2 384 ) ,油腻甜食的喜欢程度OR为 1 36 2 (1 0 6 0～ 1 74 8) ,油腻甜食吃用程度OR为 1 347(1 0 4 9～ 1 730 ) ,腰臀比例OR为 1 6 86 (1 113～ 2 5 5 5 )。坚持适当的体力锻炼对预防糖尿病的发生有明显的作用 ,OR值为 0 6 12 (0 4 5 6～ 0 82 0 )。心理状况测定结果表明 ,病例组与全国常模比较 ,强迫症状、人际关系、精神病态的因子分明显低于全国常模 ,而躯体比、焦虑、恐怖因子分明显高于全国常模。结论 研究提示 ,糖尿病家族史、吸烟、喜欢食油腻甜食、腰臀比过大是Ⅱ型糖尿病的危险因素 ,体育锻炼为保护因素。心理状况与Ⅱ型糖尿病有一定关系 ,但尚不能确定其因果
Objective To explore the risk factors of type 2 diabetes mellitus and the relationship between psychological factors and diabetes mellitus. Methods Ninety - nine cases of newly diagnosed inpatients with diabetes mellitus were enrolled in this study. A case - control study with a ratio of 1: 2 was conducted. The psychological status of the subjects was measured by using SCL - 90 symptom self - rating scale. Results The multivariate Logis tic regression analysis showed that family history of diabetes OR was 1881 (1122-3153) and smoking OR was 1585 (1053-2384). The degree of likeness of greasy dessert OR was The OR for greasy desserts was 1 347 (1 0 4 9 ~ 1 730) and the ratio of waist and hip was 1 6 86 (1 1 13 ~ 2 5 5 5) . Adhere to proper physical exercise on the prevention of diabetes have a significant role, OR value of 0 6 12 (0 466 ~ 0 82 0). Mental status measurement results showed that compared with the national norm in case group, the scores of obsessive-compulsive disorder, interpersonal relationship and psychotic state were significantly lower than that of the national norm, while the body ratio, anxiety and horror factor were significantly higher than those of the national norm. Conclusions The study suggests that family history of diabetes, smoking, like eating greasy desserts, waist-hip ratio is a risk factor for type 2 diabetes, physical exercise as a protective factor. Psychological status and type II diabetes have a certain relationship, but not yet determine its causal