甘南藏族一级高血压患者代谢综合征不同诊断标准患病现状  

The Prevalence Survey of Metabolic Syndrome among Tibetan First Stage Hypertension Patient in Gannan Tibetan Autonomous

作　　者：靳利梅[1] 胡继宏[1] 郑贵森[1] 赵翊[1] 陈丽[1] 卓玛草 王建宗[3] 常祯 

机构地区：[1]甘肃中医药大学公共卫生学院,730000 [2]夏河县人民医院 [3]甘肃中医药大学藏医学院 [4]新疆维吾尔自治区第一济困医院急诊科

出　　处：《中国卫生统计》2016年第4期591-594,共4页Chinese Journal of Health Statistics

基　　金：国家自然科学基金(81260444);甘肃中医学院中青年科研基金(ZQ2014-23)

摘　　要：目的应用中华医学会糖尿病学分会(CDS)、国际糖尿病联盟(IDF)以及美国国家胆固醇教育计划成人组第三次报告(NECP/ATPⅢ)的代谢综合征(MS)诊断标准,了解甘肃省甘南藏族自治州藏族高血压患者代谢综合征现状。方法 2013年6月至2014年11月,采用多级抽样的方法,随机抽取甘肃省甘南藏族自治州夏河县和合作县所辖社区的藏族原发性高血压患者799例,对其进行流行病学调查、体格检查及实验室检测,用不同标准对研究对象进行MS诊断。结果甘南藏族高血压患者采用CDS、IDF和NCEP-ATPШ标准的MS检出率分别为47.8%、54.8%和37.6%;CDS和IDF标准的一致性最高,其Kappa值为0.596(P<0.001)。CDS标准男性MS的检出率为55.6%高于女性的39.7%(P<0.001);IDF和NCEP-ATPШ标准男性与女性MS的检出率差异无统计学意义(P>0.05)。CDS标准,藏族高血压患者MS检出率随年龄的递增而降低(P=0.006),IDF和NCEP-ATPШ标准的不同年龄MS检出率差异无统计学意义(P>0.05)。MS组分中,IDF标准的中心性肥胖检出率最高为79.4%,且女性检出率为89.6%,高于男性的69.5%(P<0.001);其次为CDS标准的超重/肥胖检出率为66.3%,男性高于女性(P=0.002)。结论甘肃省甘南藏族自治州藏族高血压患者的MS检出率较高;IDF标准在藏族高血压患者中MS的检出率最高;应针对藏族高血压患者加强宣传教育,提倡合理饮食,坚持锻炼,控制体重。Objective To understand the prevalence of metabolic syndrome（MS） among Tibetan hypertension patient in Gannan Tibetan autonomous of Gansu province by using the Chinese Diabetes Society（CDS） ,International Diabetes Federation （IDF） and the National Cholesterol Education Program＇s Adult Treatment Panel Ⅲ （NECP/ATP Ⅲ）definitions in diagnosing metabolic syndrome. Methods A total of 799 Tibetan hypertension patients were sampled with multilevel and random sampling method from June 2013 to November 2014, then epidemiological investigation, physical examination and laboratory tests on them, diagnosing MS to the object of study by using different standards. Results The prevalence of MS among Tibetan hypertension patient in Gannan Tibetan autonomous were 47.8% ,54. 8% and 37.6% by using the CDS ,IDF and the NECP/ATP Ⅲ diagnostic criteria. Agreement between CDS and IDF definition was the highest, Kappa = 0. 596 （P 〈 0. 001 ）. The prevalence of MS in male （55.6 % ） was higher than female （52.4 % ） by using CDS definition （ P 〈 0. 001 ）, the difference in prevalence of MS was not statistically significant between male and female by using IDF and NCEP-ATP llI definition（ P 〉 0.05 ）. The prevalence of MS among Tibetan hypertension patient in Gannan Tibetan autonomous was decreased with age by using CDS definition （ P = 0. 006 ）, the differences in prevalence of MS were not statistically significant between different ages by using NCEP-ATPⅢ deftnition （P 〉 0. 05 ）. In constituents of MS, the prevalence of central obesity （79.4%）was highest in IDF definition, and the prevalence of central obesity in female （ 89. 6% ） was higher than that in male （69. 5 % ） （ P 〈 0. 001 ）. Secondly, the prevalence of overweight/obesity was 66. 3 %, and the prevalence of overweight/obesity in male was higher than that in female（ P = 0. 002）. Conelusion The prevalence of MS among Tibetan hypertension patients in Gannan Tibetan autonomous is high. In three MS diagnos

关 键 词：藏族 高血压患者 代谢综合征 诊断标准 

分 类 号：R589[医药卫生—内分泌] R544.1[医药卫生—内科学]