国际糖尿病联盟和美国国家胆固醇教育计划Ⅲ两个诊断标准对代谢综合征的诊断差异及合理性研究  

A study on the difference between International Diabetes Federation worldwide definition and Adult Treatment Panel Ⅲ in diagnosing metabolic syndrome

作　　者：谢自敬[1] 郭念昆[2] 毛新民[3] 李琳琳[3] 

机构地区：[1]新疆医科大学第一附属医院内分泌科,乌鲁木齐830054 [2]新疆医科大学第六附属医院内科 [3]新疆医科大学药学院

出　　处：《中华内科杂志》2008年第1期23-26,共4页Chinese Journal of Internal Medicine

基　　金：国家自然科学基金（30560055）;新疆维吾尔自治区自然科学基金（200421124）;新疆维吾尔自治区重点科技攻关项目（200633129）

摘　　要：目的研究国际糖尿病联盟（IDF）和美国国家胆固醇教育计划Ⅲ（ATPⅢ）两个代谢综合征（MS）诊断标准对MS的诊断差异及合理性。方法横断面调查乌鲁木齐市新市区社区及喀什市及周边县与乡的维吾尔族居民5240人MS患病情况。结果（1）按IDF诊断标准纳入MS的3个以上危险因素者共1328例，ATPⅢ纳入了1527例，IDF标准比ATPⅢ标准少纳入了199例，少纳入的199例均含3～4个危险因素。（2）按ATPⅢ标准共纳入符合MS标准的糖调节异常、血压调节异常及脂调节异常患者比IFD标准多759例，比IDF标准多纳入22％。结论ATPⅢ对MS的诊断更客观，对MS的理论留有更多的空间。Objective To study the difference between the metabolic syndrome （MS） diagnosis made with International Diabetes Federation （IDF） worldwide definition and the Adult Treatment Panel Ⅲ （ATP Ⅲ ）of National Cholesterol Education Program （NCEP）. Methods Cross-sectional study and descriptive study were used. Results There were 1328 MS patients diagnosed with IDF and 1527 MS patients diagnosed with ATPⅢ. There were 199 MS patients diagnosed with ATPⅢ but not with IDF and these MS patients all had 3-4 risk factors. According to the abnormality of glucose , blood pressure and lipid regulation stated in ATPⅢ criteria, 759 more patients were diagnosed as MS than with IDF criteria. Conclusions MS diagnosed with ATPⅢ criteria is more objective than with IDF criteria and ATPⅢ criteria has more space for further theoretical study.

关 键 词：X综合征 诊断 腰围 

分 类 号：R686[医药卫生—骨科学]