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目的对某部机关干部查体资料进行分析,探讨代谢综合征(metabolic syndrome,MS)发病情况及危险因素。方法对入选的212例机关干部进行统一健康体检,并按2004年中华医学会糖尿病分会推荐的MS诊断标准,分为正常组(不符合MS诊断标准者)42例、代谢异常1组(符合MS诊断标准1项者)52例、代谢异常2组(符合MS诊断标准2项者)58例及MS组60例,比较各组体质量指数、血压、血糖、血脂等指标。结果 MS组、代谢异常1组及代谢异常2组的体质量指数、收缩压、舒张压、空腹血糖、总胆固醇(TC)水平均显著高于正常组,而高密度脂蛋白胆固醇(HDL-C)水平低于正常组,差异有统计学意义(P<0.05);MS组、代谢异常2组的低密度脂蛋白胆固醇(LDL-C)、甘油三脂(TG)、糖化血红蛋白(Hb A1c)均显著高于正常组,差异有统计学意义(P<0.05)。结论机关干部的MS发病状况应引起重视,符合MS诊断标准1项及2项者是机关干部MS的高危人群,超体质量或肥胖、高血压、高血糖、血脂异常等可能增加机关干部MS的患病风险。
Objective To analyze the physical examination data of cadres in a certain department and discuss the incidence and risk factors of metabolic syndrome (MS). Methods A total of 212 cadres were selected for health examination. According to the diagnostic criteria of MS recommended by Diabetes Branch of Chinese Medical Association in 2004, 42 cases were divided into normal group (those who did not meet MS diagnostic criteria), 1 group with metabolic abnormalities (MS Diagnostic criteria of a) 52 cases, metabolic abnormalities in two groups (MS diagnostic criteria 2) 58 cases and 60 cases of MS group, body mass index, blood pressure, blood glucose, blood lipids and other indicators were compared. Results The body mass index, systolic blood pressure, diastolic blood pressure, fasting blood glucose and total cholesterol (TC) in MS group, metabolic abnormality group 1 and metabolic abnormality group 2 were significantly higher than those in normal group, while HDL-C ) Were lower than those in normal group (P <0.05). In MS group, the levels of LDL-C, TG, Hb A1c, Were significantly higher than the normal group, the difference was statistically significant (P <0.05). Conclusion MS cadres should pay more attention to the pathogenesis of MS. According to the diagnostic criteria of MS, one or two of them are high risk MS cadres. Overweight or obesity, hypertension, hyperglycemia and dyslipidemia may increase MS Risk of illness.