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目的探讨老年男性非酒精性脂肪肝(NALFD)与代谢综合征(MS)不同诊断标准(ATPIII2002、IDF2005和CDS2007标准)的相关性。方法选择2010年5月在我院体检中心体检的老年男性共666例,进行NALFD及MS相关指标的检查,比较ATPIII2002、IDF2005和CDS2007三种诊断标准的一致性,并分析比较其与NALFD的相关性。结果 IDF与CDS标准及ATP与CDS标准之间诊断一致率好,而IDF与ATP之间诊断一致率差。MS组中NAFLD检出率均高于非MS组,其差异有统计学意义(P<0.01)。且以CDS2007为诊断标准,NAFLD与MS相关最为密切(P<0.000)。结论 NAFLD与MS的3种诊断标准均关系密切,可作为MS的组成成分之一。CDS2007诊断标准与其他MS诊断标准诊断一致率高,且与NAFLD相关性好,是适合我国人群,包括老年人群在内的良好诊断标准。
Objective To investigate the relationship between different diagnostic criteria (ATPIII2002, IDF2005 and CDS2007) in elderly men with nonalcoholic fatty liver (NALFD) and metabolic syndrome (MS). Methods A total of 666 elderly men who were examined in our hospital during May 2010 were examined for NALFD and MS. The consistency of the three diagnostic criteria of ATPIII2002, IDF2005 and CDS2007 was compared and their correlation with NALFD was analyzed Sex. Results IDF and CDS standards and ATP and CDS standards have good diagnostic agreement, while IDF and ATP have poor diagnostic concordance. The detection rate of NAFLD in MS group was higher than that in non-MS group, and the difference was statistically significant (P <0.01). And CDS2007 as the diagnostic criteria, NAFLD and MS most closely (P <0.000). Conclusion NAFLD and MS are closely related to the three diagnostic criteria and can be used as one of the components of MS. CDS2007 diagnostic criteria and other diagnostic criteria for diagnosis of MS consistent with high rate, and good correlation with NAFLD, is suitable for our population, including the elderly, including a good diagnostic criteria.