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目的分析紫云社区65岁以上老年人代谢综合征(metabolic syndrome,MS)患病情况,为社区居民健康水平的提高提供指导。方法运用中华医学会糖尿病分会(CDS)建议代谢综合征诊断标准对720名65岁以上人群体检结果(体重指数、血压、血糖、血脂)进行分析。计量资料比较采用t检验,计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果所有研究对象总患病率为18.3%;其中65~69岁组患病率(20.6%)最高,75~79岁组患病率(16.7%)最低,不同年龄组间差异无统计学意义(P>0.05);三种相关疾病患病率:高血压(56.9%)>高血糖(47.4%)>血脂紊乱(34.2%),高血压有随年龄增高的趋势,不同年龄组间差异有统计学意义(P<0.01);男性患病率(18.0%)低于女性(18.5%),差异无统计学意义(P>0.05);结论社区老年人代谢综合征的防制应引起重视,从控制体重和血压入手,改变不良生活方式,调整膳食结构,降低其患病率。
Objective To analyze the prevalence of metabolic syndrome (MS) in the elderly over 65 in Ziyun Community and provide guidance for improving the health of community residents. Methods The physical examination results (body mass index, blood pressure, blood glucose, blood lipid) of 720 people over the age of 65 were analyzed by CDS diagnostic criteria recommended by the Chinese Society of Diabetes (CDS). Measurement data were compared using t test, count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results The overall prevalence rate of all subjects was 18.3%. The prevalence rate was the highest in 20.6% of patients aged 65-69 years, while the lowest was in patients of 75-79 years (16.7%). There was no significant difference among different age groups (P> 0.05). The prevalences of three related diseases were hypertension (56.9%), hyperglycemia (47.4%) and dyslipidemia (34.2%). The prevalence of hypertension increased with age. There were significant differences among different age groups (P0.05) .Conclusion The prevention and treatment of metabolic syndrome should be paid more attention in the community elders, and there is no significant difference between the two groups (P <0.01). The prevalence of males is lower than that of females (18.0% From the control of body weight and blood pressure to start, change the unhealthy lifestyles, adjust the diet and reduce its prevalence.