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作 者:彭潇[1] 向阳[1] 马依彤[1] 陈铀[1] 刘芬[1] 付真彦[1] 谢翔[1]
机构地区:[1]新疆医科大学第一附属医院心脏中心,新疆乌鲁木齐830011
出 处:《新疆医科大学学报》2011年第2期124-128,共5页Journal of Xinjiang Medical University
基 金:新疆维吾尔自治区重大专项课题(200733146-3)
摘 要:目的了解新疆汉族人群代谢综合征(MS)及外周动脉疾病(PAD)的患病情况,探讨新疆地区汉族人群MS合并PAD患病的相关危险因素。方法应用四阶段整群随机抽样法,在全疆23个市、7个地区、5个自治州抽取乌鲁木齐市、克拉玛依市、阜康市、吐鲁番地区、和田地区、伊犁哈萨克自治州等6个地区年龄在35岁以上样本,男女均衡。所有调查者进行问卷调查、体格检查、相关生化指标及踝臂指数(ABI)的测定,统计PAD及MS的患病率;并分析讨论新疆汉族人群中PAD合并MS危险因素。结果调查有效样本为5 563人,所查人群中MS的总患病率为27.8%,其中男性及女性的患病率分别为38.6%和17.1%;PAD总患病率为3.6%,其中男性及女性的患病率分别为2.4%和4.9%;PAD合并MS发病的危险因素为收缩压、甘油三酯、总胆固醇和低密度脂蛋白(P<0.05)。结论新疆地区汉族人群MS及PAD的患病率均较高,且随着年龄增高而增高;PAD合并MS的危险因素为收缩压、甘油三酯、总胆固醇和低密度脂蛋白。Objective To investigate the prevalence and risk factors of peripheral artery disease(PAD),metabolic syndrome(MS) and peripheral artery disease complicated in metabolic syndrome among the Han adults lived in Xinjiang.Methods Four-stage selected random samples maternal age 35 and over were used to analyze the prevalence and the relationship between the risk factors of peripheral artery disease and metabolic syndrome.The sampled adult population were collected 6 locality,including Urumqi,Kelamayi,Fukang,the Turfan Basin locality,Hetian locality,Yili Kazakh autonomous prefecture,they were from 23 municipalities and 7 locality and 5 autonomous county in Xinjiang.The proportion of male to female accounted for 50% each.Each individual were answered a questionnaire,received physical examination,biochemical indicator survey and ankle brachial index(ABI) examination.To divide the patients who suffered PAD into two groups: one were complicated with metabolic syndrome and the other not.A logistic regression analysis was also made to identify possible risk factors and their powers on the prevalence of PAD complicated in metabolic syndrome.Results A total of 5563 adults were surveyed.The prevalence of MS was 27.8%,38.6% for male and 17.1% for female in the total.The prevalence of PAD was 3.6%,2.4% and 4.9% in male and female population respectively.The risk factors of PAD complicated in MS were systolic pressure,triglyceride,total cholesterol and low density lipoprotein,with significant dfferences(P〈0.05).Conclusion The results of this study shows that the higher prevalence of PAD and MS in Xinjiang Han adults.The prevalence of PAD and MS increase substantially with aging.The risk factors of PAD complicated in MS include systolic pressure,triglyceride,total cholesterol and low density lipoprotein.
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