不同诊断标准下黑龙江省成人代谢综合征患病率调查  

Comparison of the prevalence of metabolic syndrome under different definitions in adults in Heiongjiang province

作　　者：吴南楠[1] 李强[2] 陈凯庭[2] 冯艳 刘晓颖[4] 李善忠[5] 张巾超[2] 

机构地区：[1]北京市通州区潞河医院 [2]哈尔滨医科大学附属第二医院内分泌代谢病科,150086 [3]牡丹江市第二人民医院内分泌血液科 [4]绥化市第一医院血液、内分泌科 [5]黑龙江省桦南县人民医院内科

出　　处：《中华糖尿病杂志》2009年第4期-,共5页CHINESE JOURNAL OF DIABETES MELLITUS

基　　金：中华医学会临床医学科研课题，黑龙江省科技攻关课题，哈尔滨市科技攻关课题

摘　　要：目的 了解不同诊断标准下黑龙江省成人代谢综合征(MS)的患病率,并比较其一致性.方法 采取多级分层整群随机抽样的原则,对黑龙江2875名20～74岁的居民进行流行病学调查.采用美国胆固醇教育计划成人治疗组第三次指南(NCEP-ATPⅢ)诊断标准、国际糖尿病联盟(IDF)诊断标准及中华医学会糖尿病学分会(CDS)诊断标准计算MS的患病率,并进行结果比较和一致性检验.结果 根据ATP Ⅲ、IDF、CDS这3种诊断标准,黑龙江省成人MS标化患病率分别为14.47%、21.92%和18.73%.ATP Ⅲ与CDS诊断标准判断MS患病率的一致性最好,符合率为87.58%;其次为ATP Ⅲ与IDF,符合率为84.97%;而CDS与IDF的符合率为82.50%.结论 黑龙江地区成人MS患病率已经达到较高水平,3种MS诊断标准存在较好的一致性.Objective To compare the prevalence of metabolic syndrome in Heilongjiang adults under different definitions and find the appropriate diagnostic.Methods A cross-sectional study was conducted in Heilongjiang with a representative sample of 2875 Chinese adults from 20 to 74 years of age.The different prevalences under ATPⅢ,IDF and CDS definitions respectively were calculated and the results were compared by Kappa test.Results The adjusted prevalences of metabolic syndrome under ATPⅢ,IDF,and CDS were 14.47%,21.92% and 18.73%,respectively.The 87.58% concordance of metabolic syndrome cases was found between ATPⅢ and CDS,84.97% between ATPⅢ and IDF,and 82.50% between CDS and IDF.Conclusion The prevalence of MS has been in a high level in the inhabitant in Helongjiang province between 20 and 74 years old.The agreement among three definitions is high.

关 键 词：患病率 代谢综合征 诊断标准 

分 类 号：R589[医药卫生—内分泌]