摘要
目的 探讨三种诊断标准下大理白族自治州老年代谢综合征（MS）患者的临床特点.方法 选择门诊或住院老年患者1 386例,分别根据1999年世界卫生组织（WHO）诊断标准（以下简称WHO指南）、2004年中华医学会糖尿病分会指南（以下简称CDS 2004）和2013年最新颁布的《中国2型糖尿病防治指南（2013年版）》中关于MS的标准（以下简称CDS 2013）,分析大理州60岁及以上老年人MS患病情况及代谢异常组分的临床特点.结果 三种MS诊断下临床特点分析：WHO、CDS 2004、CDS 2013三种诊断标准下MS的患病率分别为30.38％、33.77％和36.87％;MS随着年龄的增加而升高,男性和女性之间有差异,＞70～80岁年龄组最高（P＜0.05～0.01）,三种诊断标准下高血压组患病率＞60.00％,异常指标组合最常见是高血压＋血糖异常＋肥胖或超重（P＜0.01）;三种诊断标准的一致性分析：CDS2004与CDS2013诊断标准判断下MS患病率的一致性最好,符合率为92.86％;其次为WHO与CDS 2004,符合率为90.19％;而WHO与CDS2013符合率为80.23％（P＜0.05 ～0.01）.结论 大理州老年人群MS随着年龄增加而升高,男女之间有差异,高血压组分较常见,三种MS诊断标准存在一定的一致性,CDS 2013诊断标准下MS检出率最高.
Objective To compare the prevalence and clinical charecteristics of metabolic syndrome（MS） in aged people of Dali Bai Autonomous Prefecture under three diagnostic criteria.Methods A total of 1 386 patients in outpatient department or admitted to our hospital were recruited.The different prevalences under the World Health Organization（WHO） in 1999,the China Diabetes Society in 2004 （CDS 2004） and the China Diabetes Society in 2013（CDS 2013） definitions respectively were calculated and the results were compared by κ test.Results The prevalences of metabolic syndrome under WHO,CDS2004,and CDS2013 were 30.38%,33.77% and 36.87%,respectively,it increased with age,and was most highest in 〉 70～ 80 years aged group （P 〈 0.05-0.01）,the number of hypertension abnormality was more than 60.00%,and the most combination of abnormalities 〉 3 in MS was hypertension ＋ hyperglycemia ＋ obesity （P 〈 0.01）;The 92.86% concordance of MS cases was found between CDS2004 and CDS2013,90.19% between WHO and CDS2013,and 80.23% between WHO and CDS2013 （P 〈 0.05-0.01）.Conclusion The prevalence of MS increased with age in eldely people of Dali Bai Autonomous Prefecture,there is different between man and female,hypertension is the common abnormality in components of MS.The agreement among three criterias is relatively high,and the prevalence of MS has high level by CDS2013.
出处
《中国基层医药》
CAS
2017年第23期3557-3562,共6页
Chinese Journal of Primary Medicine and Pharmacy
