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目的探讨如何在健康体检中心对代谢综合征进行合理有效的健康管理。方法收集代谢综合征(MS)患者153例,并设立正常对照组。对患者进行健康管理12个月后,全面体检并进行效果评价。结果 MS组的腰围、体重指数、收缩压、舒张压、血脂均比正常对照组高,且差异有统计学意义(P<0.01)。Logistic回归分析显示甘油三酯、腰围、收缩压、血糖、高血压及糖尿病家族史、运动对MS的发生有影响(P<0.05),其中运动是保护因素,OR值分别为1.614、1.523、1.310、1.185、0.578、0.513、1.822。健康管理后,所有检测指标均有所下降,其中腰围、收缩压、舒张压、空腹血糖、胆固醇、甘油三酯、低密度脂蛋白胆固醇有统计学意义(P<0.05)。结论血脂、腰围、收缩压、血糖、高血压及糖尿病家族史是MS的主要危险因素。
Objective To explore how to carry out reasonable and effective health management of metabolic syndrome in the center of health examination. Methods 153 patients with metabolic syndrome (MS) were collected and normal control group was established. After 12 months of patient health management, a full physical examination and evaluation of the effect. Results The waist circumference, body mass index, systolic blood pressure, diastolic blood pressure and blood lipids in MS group were significantly higher than those in normal control group (P <0.01). Logistic regression analysis showed that family history of triglyceride, waist circumference, systolic blood pressure, blood glucose, hypertension and diabetes had an effect on the occurrence of MS (P <0.05), and exercise was the protective factor with OR values of 1.614, 1.523 and 1.310 , 1.185,0.578,0.513,1.822. After the health management, all the test indexes decreased. The waist circumference, systolic blood pressure, diastolic blood pressure, fasting blood glucose, cholesterol, triglyceride and low density lipoprotein cholesterol were statistically significant (P <0.05). Conclusion Serum lipids, waist circumference, systolic blood pressure, blood glucose, hypertension and family history of diabetes are the major risk factors for MS.