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目的分析代谢综合征(metabolic syndrome,MS)患者的临床特征,为代谢综合征综合防治提供科学依据。方法 2011年7—8月在河南省农村社区18岁以上人群中代表性地选择了10 112人进行横断面调查,对筛检出的2 964名MS患者的临床特征进行分析。根据国际糖尿病联盟2005年推荐的有关中国人MS的标准诊断MS和进行组分分类。结果35~74岁患者约占MS患者的90.6%。87.83%的患者为超重或肥胖。在有3项或4项异常组分的MS患者中,最多见的表现形式是中心性肥胖+甘油三酯水平升高+血压升高及中心性肥胖+甘油三酯水平升高+HDL-C水平降低+血压升高,分别占MS患者的46.52%和22.10%。9.96%的患者有5项代谢异常组分。部分MS患者同时伴发脑卒中、心肌梗死、恶性肿瘤等疾病。结论 MS患者的临床特征呈多样性,应对其进行综合防治,以提高其生活质量。
Objective To analyze the clinical features of patients with metabolic syndrome (MS) and provide a scientific basis for the comprehensive prevention and treatment of metabolic syndrome. Methods From July to August in 2011, 10 112 people were selected from 18 years old and above in the rural community of Henan Province for cross-sectional survey, and the clinical features of 2 964 MS patients were analyzed. According to the International Diabetes Federation recommended in 2005 on the Chinese MS standards for diagnosis of MS and classification of components. Results 35 ~ 74 years old patients accounted for about 90.6% of MS patients. 87.83% of the patients were overweight or obese. Among MS patients with 3 or 4 abnormalities, the most common manifestations were central obesity plus elevated triglycerides + elevated blood pressure and central obesity + elevated triglyceride levels + HDL-C Lower levels of blood pressure + increased, accounting for 46.52% of MS patients and 22.10%. There are 5 metabolic abnormalities in 9.96% of the patients. Some MS patients accompanied by stroke, myocardial infarction, cancer and other diseases. Conclusion The clinical features of patients with MS are diverse and should be integrated prevention and control to improve their quality of life.