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目的探讨大理白族自治州老年代谢综合征(MS)患者的临床特点。方法选择2007年1月~2011年12月我院门诊体检或住院且资料完整的患者1068例,根据2007年中国成人血脂异常防治指南MS诊断标准(2007MS标准),分为MS组386例和非MS组682例。比较2004年中华医学会糖尿病学分会MS标准(2004MS标准)与2007年MS标准差异,分析年龄60~69岁118例,70~79岁186例和≥80岁82例MS患病情况及代谢异常组分的临床特点。结果 2007 MS标准的MS患病率为36.14%,与非MS组比较,MS组男性比例明显升高(59.59%vs 52.50%,P=0.029),且64.42%的老年人同时有≥2种代谢异常。2004 MS标准的MS患病率为31.27%。高血压发生率最高,且2007MS标准较2004MS标准明显升高(67.13%vs 63.39%,P=0.03),≥80岁较60~69岁MS血脂紊乱+高血压+高血糖组合患病率明显升高(45.12%vs 36.44%,P<0.01)。结论大理白族自治州老年人群2004MS标准和2007MS标准下MS及各代谢异常患病率高,高血压是最常见的异常组分,制定基于社区老年人MS的干预策略,降低心血管事件的发生非常必要。
Objective To investigate the clinical features of elderly patients with metabolic syndrome (MS) in Dali Bai Autonomous Prefecture. Methods From January 2007 to December 2011 in our hospital outpatient examination or hospitalized patients with complete data 1068 cases, according to 2007 Chinese adult dyslipidemia guidelines MS diagnostic criteria (2007MS standard), were divided into 386 MS cases and non 682 cases of MS group. To compare the difference between MS standard (2004MS standard) of Chinese Medical Association Diabetes Branch in 2004 and MS standard in 2007, to analyze the prevalence of MS and metabolic abnormalities in 118 cases aged 60-69 years, 186 cases aged 70-79 years and 82 cases aged ≥80 years The clinical features of the components. Results The prevalence of MS in 2007 MS was 36.14%. Compared with non-MS, the proportion of men in MS group was significantly higher (59.59% vs 52.50%, P = 0.029), and 64.42% of the elderly had ≥2 kinds of metabolism abnormal. MS MS 2004 prevalence rate of 31.27%. The incidence of hypertension was the highest, and the 2007 MS standard was significantly higher than 2004MS standard (67.13% vs 63.39%, P = 0.03). The prevalence of MS dyslipidemia + hypertension + High (45.12% vs 36.44%, P <0.01). Conclusion The prevalence of MS and metabolic abnormalities in 2004MS standard and 2007MS standard of elderly population in Dali Bai Autonomous Prefecture is high. Hypertension is the most common abnormal component. It is very necessary to establish an intervention strategy based on community-aged MS to reduce the incidence of cardiovascular events .