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目的研究原发性高血压和血压正常者代谢综合征(MS)患病危险比较。方法采用多阶段分层整群抽样方法,对温州市鹿城、瓯海、龙湾3城区10 293名≥18岁居民进行问卷调查、体格检查和实验室检测,依据国际糖尿病联盟(IDF)2005版MS诊断标准对血压正常者和高血压患者进行代谢综合征患病危险因素分析。结果原发性高血压组年龄、腰围、体重指数、血脂、血糖均高于正常组,高血压组拥有2~4个代谢综合征危险因素的风险是血压正常组的2.15、4.88、18.01倍。结论高血压患者MS各项危险因素均高于血压正常人群,合并危险因子越多,患代谢综合征的危险越高。
Objective To investigate the prevalence of metabolic syndrome (MS) in patients with essential hypertension and normotension. Methods A total of 10 293 residents aged 18 or older in Lucheng, Ouhai and Longwan 3 districts of Wenzhou City were investigated by questionnaires, physical examinations and laboratory tests using the multi-stage stratified cluster sampling method. According to the International Diabetes Federation (IDF) 2005 edition MS Diagnostic criteria for normotensive and hypertensive patients with metabolic syndrome risk factors. Results The age, waist circumference, body mass index, blood lipids and blood glucose of the patients with primary hypertension were higher than those of the normal subjects. The risk of having 2-4 metabolic syndrome risk factors in the hypertension group was 2.15, 4.88 and 18.01 times of those in the normal blood pressure group. Conclusion The risk factors for MS in patients with hypertension are higher than those in patients with normal blood pressure. The more the risk factors are, the higher the risk of metabolic syndrome.