Objective To explore the early screening of f type 2 diabetes in communities.Methods 1058 residents were selected during community health service for health examination and the health documents were established .he type 2 diabetes pa-tients were screened.According to the risk factors for type 2 diabetes, the screening was done to find out the suspicious patients and high risk individuals, whom received selective intervention.The health records of 982 community residents before the intervention were used for comparisons.The difference inthe indicators such as awareness rate, treatment rate, disability rate and mortality rate of diabetes patients before intervention were compared with those after intervention .Results 76 cases of type 2 diabetes without symp-toms were screened out after intervention and 81 cases before intervention.The awareness rate and treatment rate after intervention were 96.05% and90.79%, significantly higher than 74.07% and67.90%.After treatment, the disability rate was 6.58%, signifi-cantly lower than 19.75%before intervention (p<0.05).Conclusion The model such as“screening-intervention-follow-up-treatment” is the key strategy for three-level prevention of diabetes .It has the important social value to curb the prevalence of diabe-tes, reduce the burden on families or society and improve the quality of life of patients .%目的：探讨成年人无症状2型糖尿病前期社区筛查工作对防治糖尿病流行的作用。方法我院社区卫生服务中心对1058例社区居民进行健康体检，建立健康档案，对社区成年居民无症状的2型糖尿病及糖尿病前期的人群进行筛查，并根据2型糖尿病的危险因素，早期发现可疑病人和高危个体，对目标人群进行有目的、有重点的选择性干预治疗。并以干预前的982例社区居民的资料作为对照分析，对比前后患者对糖尿病的知晓率、治疗率、致残率和死亡率等指标差异。结果本研究干预后共筛查出76例无症状2型糖尿病患者，而干预前则随机筛选出81例无症状2型糖尿病患者，干预治疗后的糖尿病知晓率和治疗率分别为96．05％、90．79％，显著高于干预前的74．07％、67．90％；并且，干预治疗后患者的致残率为6．58％，显著低于干预前的19．75％（p＜0．05）。结论“筛查－干预－随访－治疗”模式是糖尿病三级预防的关键策略，这对于遏制我国糖尿病的流行，减轻家庭及社会负担，提高患者生活质量均具有重要的社会学价值。
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