目的了解社区2型糖尿病(T2dM)人群发病危险因素的聚集与慢性并发症变化的关系。方法在城市社区就诊患者中选取159例2型糖尿患者,进行糖尿病人群危险因素调查、体格指标测量和生化指标检测。结果①在159例糖尿病者中,诊断具有糖尿病危险因素者103人(占64.8%),其慢性并发症发生率明显高于不伴有糖尿病危险因素者(P<0.01)。②logistic回归分析结果显示,以不伴糖尿病危险因素和只有一个危险因素组为参照,有2个危险因素组、3个危险因素组、4个危险因素组和5个危险因素组增加慢性并发症发生率的OR值分别为1.401(95%CI:0.811～3.014),2.614(95%CI:1.822～7.012)、3.241(95%CI:2.128～8.652)和4.991(95%CI:3.019～9.662)。结论糖尿病发病危险因素影响慢性并发症的变化,且随着危险因素的增加,慢性并发症有增多的趋势。 Objective To understand the relationship between the aggregation of risk factors and the changes of chronic complications in community-type 2 diabetes mellitus (T2dM). Methods A total of 159 patients with type 2 diabetes mellitus were enrolled in urban community outpatients to investigate risk factors, physical indicators and biochemical indexes in diabetic population. Results ① Of the 159 diabetic patients, 103 (64.8%) were diagnosed with diabetes risk factors. The incidence of chronic complications was significantly higher than those without diabetes (P <0.01). ②Logistic regression analysis showed that there were two risk factors group, three risk factors group, four risk factors group and five risk factors group to increase chronic complications, which were not associated with diabetes risk factors and only one risk factor group The odds ratios were 1.401 (95% CI: 0.811-3.014), 2.614 (95% CI: 1.822-7.0112), 3.241 (95% CI: 2.128-8.652) and 4.991 (95% CI 3.019-6.662), respectively. Conclusion The risk factors of diabetes affect the changes of chronic complications. With the increase of risk factors, there is an increasing trend of chronic complications.