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目的调查分析兰州市健康体检人群代谢综合征患病率及相关因素。方法随机抽取2012年4月-2013年5月来甘肃省人民医院体检的1 975名成年人作为调查对象,统计分析不同年龄段、不同性别的MS患病率、发病类型以及MS与血脂各指标相关性。结果兰州市健康体检人群中MS总患病率为29.57%,其中男性患病率(36.47%)高于女性患病率(16.07%)(P<0.01)。不同年龄段MS患病率差异有统计学意义,60岁~69岁年龄组患病率最高,为42.90%;<30岁年龄组最低,为10.60%。成年人群中MS发生频率最高的类型为TG、血压、腰围异常组合,患病率为6.94%,占所有患病人数的23.46%。MS患者胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL-C)以及低密度脂蛋白(LDL-C)异常率明显高于非MS者,但并未发现高胆固醇对MS有明显影响(P>0.05)。结论兰州市健康体检人群MS患病率较其他地区成年人高。代谢综合征已成为影响兰州居民生命和健康的重大的公共卫生问题,亟需制定相关防控措施。
Objective To investigate the prevalence and related factors of metabolic syndrome in health examination population of Lanzhou City. Methods A total of 1 975 adults from the People’s Hospital of Gansu Province from April 2012 to May 2013 were randomly selected to investigate the prevalence of MS and the incidence of MS in different age groups and different genders Correlation. Results The total prevalence rate of MS in health examination population was 29.57% in Lanzhou City, of which the prevalence rate of male was higher than that of female (36.07%) (36.47%) (P <0.01). The prevalence of MS in different age groups was statistically significant, the highest prevalence rate was 42.90% in the age group of 60 to 69 years old, and the lowest was 10.60% in the age group of <30 years old. The most frequent type of MS in adult population was TG, with abnormal blood pressure and waist circumference, with a prevalence of 6.94% and accounting for 23.46% of all cases. The abnormal rates of TC, TG, HDL-C and LDL-C in MS patients were significantly higher than those in non-MS patients, but high cholesterol was not found in MS patients. Have a significant effect (P> 0.05). Conclusion The prevalence of MS in healthy people in Lanzhou is higher than that in other regions. Metabolic syndrome has become a major public health problem affecting the lives and health of Lanzhou residents. It is imperative to formulate relevant prevention and control measures.