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目的从2008年职工体检人群中了解浙江省瑞安市代谢综合征(MS)及其体征成分肥胖、高血压、高血脂、高血糖患病情况,分析相关高危因素。方法对2351例职工体检人群的MS流行情况进行调查并分析。结果MS患病率为11.0%,男性及女性患病率分别为13.6%和7.6%;男性30岁以上和女性40岁以上患病率高,为高危人群;与MS相关的非条件logistic多元逐步回归分析显示,男性和女性组中高血压的OR值分别为66.869和109.13,提示高血压为MS的高危因素。结论瑞安市2008年职工体检人群MS发病率男性高于女性。MS及其组成成分的高危人群为30岁以上男性、40岁以上女性及高血压人群。相关医疗及护理人员应重视本病预防、治疗和健康宣教工作,对高危人群应定期体检,早期诊断和干预,以期降低临床不良预后。
Objective To understand the prevalence of metabolic syndrome (MS) and its components of obesity, hypertension, hyperlipemia and hyperglycemia in Ruian City, Zhejiang Province in 2008 and to analyze the related risk factors. Methods The prevalence of MS in 2351 workers was investigated and analyzed. Results The prevalence of MS was 11.0%, and the prevalence rates of males and females were 13.6% and 7.6% respectively. The prevalence rate of males over 30 years old and females over 40 years old was high, and MS-related unconditional logistic multivariate step by step Regression analysis showed that the OR of hypertension in men and women were 66.869 and 109.13 respectively, suggesting that hypertension is a high risk factor for MS. Conclusion The incidence of MS in workers checkup population in Ruian City in 2008 was higher than that in women. MS and its components at risk for men over the age of 30, women over the age of 40 and hypertensive population. Relevant medical and nursing staff should pay attention to the prevention, treatment and health mission of this disease, and should take regular physical examination, early diagnosis and intervention for high-risk groups in order to reduce the clinical poor prognosis.