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选取2006-2007年15～85岁T2DM人群503例。依据2005年IDF推荐的有关亚太人的MS标准诊断MS。结果①T2DM并MS总发生率为53.28%,男性39.44%,女性67.06%,各种代谢异常由高到低分别为低HDL-C血症65.8%,中心性肥胖64.3%,高TG血症32.8%,高血压21.1%。女性中心性肥胖、低HDL-C血症所占比例显著高于男性,而高血压、高TG血症男女无统计学意义。②MS发生率男性以75岁以上年龄组最高(50%),女性则以55～65岁组最高(77%),除15～35岁组以外各年龄组女性均较男性发生率高,MS及其组分的发生率均随着年龄的增长而增高,在35岁以上进入MS高发年龄。③各组分;1种占45.97%,2种23.74%,3种9.61%。中心性肥胖+低HDL-C血症(45.1%)、中心性肥胖+高TG血症(32%)、中心性肥胖+高血压(17.1%)、高血压+低HDL-C血症(14.5%)、高血压+高TG血症(10%),男性女性均以中心性肥胖+低HDL-C血症发生率高,分别为32.7%和57.5%,三种代谢异常组分发生率依次为中心性肥胖+高血压+低HDL-C血症(11.7%)、中心性肥胖+高血压+高TG血症(8.9%)、高血压+高TG血症+低HDL-C血症(8.2%),男性女性均以中心性肥胖+高血压+低HDL-C血症组合发生率高,分别为9.6%和13.9%。
503 cases of T2DM from 15 to 85 years old in 2006-2007 were selected. Diagnose MS based on MS criteria for APT recommended by IDF in 2005. Results ①The overall incidence of T2DM complicated with MS was 53.28%, male 39.44%, female 67.06%. All kinds of metabolic abnormalities from high to low were 65.8% of low HDL-C, 64.3% of central obesity, 32.8% of hypercholesterolemia, , Hypertension 21.1%. The proportion of women with central obesity and low HDL-C was significantly higher than that of men, while there was no significant difference between men and women with hypertension and TG with high blood pressure. (2) The prevalence of MS was highest in males over 75 years (50%) and in females 55 to 65 years (77%). Men of all age groups except 15 to 35 were higher than men The incidence of its components are increased with age, entering the high incidence of MS over the age of 35 years. ③ Each component; one species accounted for 45.97%, two species 23.74%, three species 9.61%. Central obesity + low HDL-C (45.1%), central obesity + hyper TG (32%), central obesity + hypertension (17.1%), hypertension + low HDL-C %), Hypertension and hypercholesterolemia (10%). The prevalence of central obesity + hypo HDL-C in male patients were high (32.7% and 57.5%, respectively). The incidence of three metabolic abnormalities in turn Central obesity + Hypertension + low HDL-C (11.7%), Central obesity + Hypertension + Hypertriglyceridemia (8.9%), Hypertension + Hypertriglyceridemia + Hypoglycemia 8.2%). The incidence of central obesity plus hypertension plus low HDL-C in males was high (9.6% vs 13.9%, respectively).