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目的了解辽宁阜新农村地区≥60岁高血压人群代谢综合征(MS)患病情况及相关因素。方法采用分层整群抽样对阜新农村≥60岁2443名常驻(≥5年)老年人进行流行病学调查和实验室检查。按美国国家胆固醇教育计划指南(NCEP-ATPⅢ)推荐标准诊断MS和进行各组分类,应用SPSS11.5软件进行统计分析。结果MS患病率为22.4%(标化率:22.2%),男性为10.9%(标化率:11.0%),女性为33.5%(标化率:32.5%),女性各年龄组MS患病率均高于男性(P<0.01);除空腹血糖(FPG)异常男、女患病无差异外,MS相关疾病患病率女性均高于男性(P<0.001);Logistic逐步回归分析显示,MS的危险因素为性别、腰围、FPG、TG,而HDL-C为MS保护因素。结论辽宁省农村地区老年高血压人群MS患病率较高,同时具有多种危险因素,应引起卫生部门重视,进行综合防治。
Objective To investigate the prevalence and related factors of metabolic syndrome (MS) in hypertensive population in rural areas of Fuxin of Liaoning Province. Methods Stratified cluster sampling was used to carry out epidemiological and laboratory tests on 2443 elderly people (≥ 5 years old) ≥60 years old in Fuxin rural areas. According to the National Cholesterol Education Program Guideline (NCEP-ATPⅢ) recommended standard diagnosis of MS and classification of each group, using SPSS11.5 software for statistical analysis. Results The prevalence of MS was 22.4% (standardization rate: 22.2%), 10.9% for men (standardized rate: 11.0%) and 33.5% for women (standardized rate: 32.5% (P <0.01). Except male and female with no abnormal fasting blood glucose (FPG), the prevalence of MS-related diseases was higher in males than in males (P <0.001). Logistic regression analysis showed that, The risk factors of MS were gender, waist circumference, FPG, TG, and HDL-C as MS protective factor. Conclusions The prevalence of MS in elderly hypertensive population in rural areas of Liaoning Province is high, with a variety of risk factors at the same time, which should be paid more attention by the health department for comprehensive prevention and treatment.