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目的了解长沙市医保退休人员代谢综合征患病情况,为该人群此类疾病的防治提供依据。方法收集2008年6-12月在湖南省军区机关医院体检的长沙市医保退休人员资料共4142例,按中华医学会糖尿病分会代谢综合征(Metabolic syndrome,MS)诊断标准进行诊断,分析计算MS的患病情况,各单项代谢异常检出率等。结果受检者中753例符合MS诊断标准,患病率为18.18%;男性患病率高于女性(χ2=27.20,P<0.01),分别为22.35%和15.84%。各年龄组患病率以60～69岁组为最高(26.95%);其余各组为50～59岁组10.09%,70～79岁组22.54%,80岁以上组10.76%。各单项代谢异常的检出率从高到低依次是血压增高(39.38%)、血脂异常(34.96%)、超重和/或肥胖(34.87%)和糖调节受损(14.82%)。代谢异常的组合以“高血压+血脂异常+超重和/或肥胖”检出率最高(7.22%),构成比为39.71%。结论长沙市医保退休人员MS患病水平处于全国中等水平,60～69岁是其高发年龄段,本病已经成为长沙市中老年人群的常见病和多发病,应及早进行健康教育并采取有效措施,以降低心血管事件的发生。
Objective To understand the prevalence of metabolic syndrome in retired medical care workers in Changsha and to provide basis for the prevention and treatment of such diseases in this population. Methods A total of 4142 cases of retired medical personnel in Changsha city from June to December in 2008 were collected. According to diagnostic criteria of Metabolic syndrome (MS) in Diabetes Branch of Chinese Medical Association, the data of MS Sickness, the individual metabolic abnormalities detection rate. Results The 753 cases met the diagnostic criteria of MS, the prevalence rate was 18.18%. The prevalence rate of males was higher than that of females (χ2 = 27.20, P <0.01), which were 22.35% and 15.84% respectively. The prevalence of each age group was the highest (26.95%) in the age group of 60-69 years. The other groups were 10.09% in the age group of 50-59 years, 22.54% in the group of 70-79 years old and 10.76% in the group of over 80 years old. From high to low, the detection rate of individual metabolic abnormalities were: hypertension (39.38%), dyslipidemia (34.96%), overweight and / or obesity (34.87%) and impaired glucose regulation (14.82%). The combination of metabolic abnormalities with “hypertension + dyslipidemia + overweight and / or obesity ” the highest detection rate (7.22%), the constituent ratio of 39.71%. Conclusion The prevalence of MS in retiree of medical insurance in Changsha is medium in the country. The age of 60 ~ 69 is the high incidence of MS. The disease has become a common and frequently-occurring disease in middle-aged and elderly people in Changsha. Health education should be carried out as soon as possible and effective measures should be taken , To reduce the incidence of cardiovascular events.