中老年干部体检人群代谢综合征及合并心脑血管病的研究  

Metabolic syndrome in middle-aged and old people with or without cardio-cerebrovascular disease:an investigation

作　　者：张蜀平[1] 李贤英[1] 游志清[1] 彭凌[1] 

机构地区：[1]成都军区总医院干部病房高诊室,四川成都610017

出　　处：《中华老年心脑血管病杂志》2005年第6期380-382,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的探讨中老年干部体检人群代谢综合征(Ms)的患病率,各年龄段Ms的分布及合并心脑血管病的状况.方法1985例中老年人进行健康体检.Ms患者按年龄分为≤50岁,51～60岁,61～70岁,71～80岁,＞81岁5组.分析各年龄组冠心病、高血压、肥胖、血脂异常等患病情况.结果Ms患病率26.3%,Ms及各组患病情况分析,高血压患病率52.2%,肥胖42.9%,血脂异常34.9%,高血糖34.7%,冠心病20.6%,高尿酸血症14.9%,脂肪肝10.5%,脑卒中5.2%.523例Ms患者中,高血压患病率91.8%,肥胖83.7%,血脂异常74.1%,高血糖70.7%.不同年龄组Ms患病分析显示,≤60岁组肥胖患病率最高,＞61岁各组高血压患病率最高.MS患者60岁以下年龄组脂肪肝患病率最高.＞61岁以上各年龄组冠心病患病率最高.Ms患者中冠心病、高尿酸血症、脂肪肝和脑卒中等疾病的患病率显著高于非MS受检者.结论MS的高患病率预示心、脑血管疾病患病率的增加.Objective To investigate the presentation of the metabolic syndrome（MS） in middle-aged and old people with or without cardio-cerebrovascular disease. Methods Totally 1 985 cases were examined. Results 26.3 % of all cases had MS, and the older age of the people were, the higher the percentage of the patients with MS. In all people, hypertention was presented in 52.2%, central obesity in 42.9%, dyslipidemia in 34.9% ,hyperglycemia in 34.7%, CHD in 20.6%, hyperuricemia in 14.9%, fatty liver in 10.5% and stroke in 5.2% .Among patients with MS, fatty liver was the highest among the patients younger than 60 old years, CHD was the highest among the patients older than 60 old years. Patients with MS had significantly high presentation of CHD, hyperuricemia, fatty liver and stroke than people without MS. Conclusion MS is common in middle-aged and old people, and may be considered as a risk factor for heart,braln and metabolic diseases.

关 键 词：代谢疾病 高血压 肥胖症 冠状动脉疾病 危险因素 

分 类 号：R589[医药卫生—内分泌]