关键词: 糖尿病, 2型；筛查；糖尿病风险评估量表；新疆

Abstract: Objective　To compare the performance of Finnish Diabetes Risk Score （FINDRISC） with that of Chinese Diabetes Risk Score （CDRISC） in community-based screening of diabetes in Xinjiang，providing a theoretical basis for this kind of screening in this area.Methods　By multi-stage random sampling，1 680 community-dwelling residents aged 18-75 years were recruited from Urumqi of Xinjiang in May 2017.FINDRISC，CDRISC and OGTT （gold standard for the diagnosis of diabetes） were used to screen diabetes risk，and the results of the former two were compared in terms of sensitivity，specificity，Youden's index，as well as the area under the ROC curve （AUC），and were compared with the OGTT results.Results　A total of 1 649 residents completed the 3 tests.By OGTT，402 （24.38%） were found with type 2 diabetes，other 1 247 （75.62%） without diabetes.In screening diabetes risk，the sensitivity，specificity and Youden's index were 88.81%，61.59%，0.50，respectively for FINDRISC with an identified optimal cut-off point of 9 points，and were 79.85%,40.66%， 0.21 respectively for CDRISC with an identified optimal cut-off point of 25 points.Moreover，FINDRISC demonstrated a larger AUC than CDRISC in the screening{0.833〔95%CI（0.813，0.854）〕vs 0.634〔95%CI（0.604，0.663）〕}（P<0.05）.Conclusion　As being more accurate than CDRISC，FINDRISC is reliable for community-based screening of diabetes in Xinjiang.

Key words: Diabetes mellitus, type 2；Screening；Diabetes Risk Score；Xinjiang