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目的了解老年代谢综合征的患病现状及代谢综合征和超敏C反应蛋白(HS-CRP)的关系。方法于2004年8月至2004年12月对长期在我院卫干门诊就诊的患者,测定其血糖、HS-CRP、血脂、血压、身高和体重等。结果505例患者中发现代谢综合征123例,发生率为24.36%。其六旬组发现10例,发生率为12.50%,七旬组59例发生率为23.89%,高龄组54例发生率为30.33%,P<0.01。代谢综合征和非代谢综合征检测HS-CRP浓度三组差异有统计学意义,P<0.01。结论本次调查,该人群代谢综合征发生率较高,其主要原因与高脂血症、糖尿病、高血压及肥胖的高发率有关。代谢综合征是心血管疾病高危因素,严重影响老年人的身体健康。HS-CRP可作为代谢综合征的重要预测指标,通过检测HS-CRP水平,对易感人群进行早期干预,可能会有助于防治代谢综合征〔1〕。
Objective To investigate the prevalence of metabolic syndrome in elderly patients and the relationship between metabolic syndrome and hypersensitive C-reactive protein (HS-CRP). Methods From August 2004 to December 2004, blood glucose, HS-CRP, blood lipids, blood pressure, height and weight were measured in patients who had been in long-term outpatient clinics in our hospital. Results Among the 505 patients, 123 cases were found metabolic syndrome, the incidence was 24.36%. The Xanthium group found in 10 cases, the incidence was 12.50%, the incidence of 59 cases of seventy was 23.89%, the incidence of advanced age group of 54 cases was 30.33%, P <0.01. Metabolic syndrome and non-metabolic syndrome HS-CRP concentrations were significantly different among the three groups (P <0.01). Conclusion In this survey, the incidence of metabolic syndrome is high in this population. The main reason is related to the high incidence of hyperlipidemia, diabetes, hypertension and obesity. Metabolic syndrome is a risk factor for cardiovascular disease, seriously affecting the health of the elderly. HS-CRP can be used as an important predictor of metabolic syndrome, by detecting the level of HS-CRP early intervention in susceptible populations may be helpful in the prevention and treatment of metabolic syndrome [1].