中老年2型糖尿病合并代谢综合征的调查

A Survey on Type 2 Diabetes Mellitus Complicated with Metabolic Syndrome in Middle Aged Inhabitants

目的调查中老年2型糖尿病患者合并代谢综合征的患病情况。方法获取数据完整的住院患者338例,其中男179例,女159例,年龄(46±5)岁。详细查阅病史,包括一般情况、饮食爱好、疾病史、遗传疾病史、糖尿病病史及其他并发症病史;测量身高、体重、腰围、臀围、血压、心率和脉搏,并进行相关辅助检查(超声心动图及胸片证实心脏扩大);检测空腹血糖、餐后2h血糖和血脂。结果40岁以上2型糖尿病合并冠心病、高血压、左心室肥大、高甘油三酯症、低高密度脂蛋白胆固醇症、中心性肥胖、代谢综合征患病率分别是17.8%,50.9%,18.1%,53.6%,46.2%,54.7%,38.8%,50岁～及60岁～组发病率明显高于40岁～组。体质指数大于25kgm/2者患病率高。结论中老年2型糖尿病合并代谢综合患病率增高,且与增龄、肥胖有关。肥胖是代谢综合征发生的独立危险因素,必须早期干预。

Objective To make a status survey on type2 diabetic patients with metabolic Syndrome in middle-aged inhabitants. Methods 338 inpatients with type 2 DM including 179 male and 159 female, aged 46±5 years, with complete records in the computer database. Results The prevalent rates of the complications in group of 40-yrs type2 diabetic patients were 17.8% combined with coronary atherosclerotie heart disease, 50.9% with hypertension, 18.1% with left ventficular dilatation, 53.6% with hypertriglyceridemia, 46.2% with lower HDL, 54.7% with obesity and 38.8% with metabolic Syndrome, respectively. These prevalent rates in the 40-year-old group were all lower than those in groups above 60 years, and the rates was higher in patients whose BMI was above 25 （kg/m^2）. Conclusion There was high prevalence in type 2 diabetic patients with metabolic Syndrome, and was related with the age and obesity. Obesity was an independent risk factor for MS.