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目的了解不同诊断标准下吉林省延边农村居民代谢综合征(MS)流行情况。方法采用分层整群随机抽样方法对吉林省延边市≥20岁5834名农村常住居民进行问卷调查、体格检查和生化检测;采用美国国家胆固醇教育计划指南(ATPIII)、国际糖尿病联盟(IDF)、中华医学会糖尿病学分会(CDS)和《中国成人血脂异常防治指南》(GCADP)4种MS诊断标准进行患病率比较及一致性检验。结果 ATPIII、IDF、CDS和GCADP标准下,朝鲜族男性MS的标化率分别为26.3%,16.5%,13.8%和24.2%,汉族男性分别为23.1%,15.2%,12.9%和20.2%,朝鲜族女性分别为30.3%,25.9%,12.0%和17.5%,汉族女性分别为29.4%,25.7%,10.3%和15.4%;ATPⅢ和IDF诊断标准的Kappa值为0.794;CDS与ATPⅢ、IDF分别为0.472,0.467;GCADP与ATPⅢ、IDF分别为0.747,0.616;CDS与GCADP为0.596。结论 4种标准诊断的MS标化率朝鲜族均高于汉族;GCADP与ATPⅢ、IDF诊断标准在延边人群中应用的一致性较好,但与CDS的一致性一般。
Objective To understand the prevalence of metabolic syndrome (MS) among rural residents in Yanbian, Jilin Province under different diagnostic criteria. Methods A stratified cluster random sampling method was used to carry out questionnaire, physical examination and biochemical tests on 5834 rural residents ≥ 20 years old in Yanbian City, Jilin Province. The American National Guideline for Cholesterol Education (ATPIII), International Diabetes Federation (IDF) Chinese Medical Association Diabetes Branch (CDS) and the "Chinese Adult Guideline for prevention and treatment of dyslipidemia (GCADP) four kinds of MS diagnostic criteria prevalence comparison and consistency test. Results The standardized rates of MS in Korean male were 26.3%, 16.5%, 13.8% and 24.2% respectively under the ATPIII, IDF, CDS and GCADP standards. The Han nationality male were 23.1%, 15.2%, 12.9% and 20.2% The average Kappa value of ATP Ⅲ and IDF was 0.794; the CDS, ATP Ⅲ and IDF were respectively 30.3%, 25.9%, 12.0% and 17.5% in Han nationality women and 29.4%, 25.7%, 10.3% and 15.4% 0.472, 0.467; GCADP and ATPⅢ, IDF were 0.747,0.616; CDS and GCADP was 0.596. Conclusion The standardization rates of MS in the four kinds of standard diagnoses are higher than Han nationality in Han nationality. The consistency of GCADP, ATPⅢ and IDF diagnostic criteria in Yanbian population is good, but consistent with CDS.