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目的了解国际糖尿病联盟(IDF)诊断标准、中华糖尿病学会(CDS)诊断标准及美国国家胆固醇教育计划成人治疗指南(NCEP-ATPⅢ)的诊断标准在无锡人群的适用性及异同。方法采用整群抽样方法抽取无锡市社区20岁以上人群10 833人进行现况调查。分别采用三种标准诊断MS的患病率和一致性。计量资料采用t检验,计数资料采用χ2检验,一致性检验采用Kappa检验,P<0.05为差异有统计学意义。结果无锡市社区人群IDF、ATPⅢ和CDS的MS标化患病率分别为27.33%、35.78%和20.33%。IDF标准诊断的MS患病率女性(20.90%)高于男性(17.03%)(P<0.05),ATPⅢ标准男女没有差异(P>0.05),而CDS标准男性(15.76%)高于女性(12.02%)(P<0.05)。以IDF与ATPⅢ符合率较高为91.46%,Kappa值为0.81。结论从预防疾病的角度出发,采用ATPⅢ标准更易早期发现心血管病、糖尿病风险。
Objective To understand the applicability and similarities and differences of diagnostic criteria of International Diabetes Federation (IDF), Chinese Diabetes Association (CDS) diagnostic criteria and National Cholesterol Education Program Adult Treatment Guidelines (NCEP-ATP Ⅲ) in Wuxi population. Methods A total of 10 833 people over 20 years old from Wuxi community were sampled by cluster sampling method. Three criteria were used to diagnose the prevalence and consistency of MS. Measurement data using t test, count data using χ2 test, consistency test using Kappa test, P <0.05 for the difference was statistically significant. Results The MS-standardized prevalence rates of IDF, ATPⅢ and CDS in Wuxi community were 27.33%, 35.78% and 20.33% respectively. The prevalence of MS in IDF was higher than that in males (20.03%) (P <0.05), while there was no difference between ATP Ⅲ and males (15.76% vs 12.02 %) (P <0.05). The coincidence rate of IDF and ATP Ⅲ was 91.46%, Kappa value was 0.81. Conclusion From the perspective of disease prevention, the use of ATP Ⅲ standard is more likely to detect cardiovascular disease and diabetes risk.