广东省直属机关干部代谢综合征患病情况分析

The characteristics of metabolic syndrome among staffs of Guangdong

目的 调查广东省直属机关干部代谢综合征及其各代谢异常组分患病情况，分析其患病特点。方法 以2007年在广东省人民医院干部体检中心进行健康体检的部分广东省直属机关干部1615例为研究对象，进行腰围、血脂、血压、血糖等的检测和分析。结果代谢综合征、腰围偏大、血甘油三酯升高、高密度脂蛋白胆固醇降低、血压升高、空腹血糖升高的患病率分别为16．3％、27．6％、22．7％、15．0％、51．8％、10．7％；代谢综合征患病率随年龄增大而增高；有0～5种代谢异常的患病率分别为31．5％、31．2％、22．2％、10．0％、4．7％、0．3％；代谢综合征组与非代谢综合征组血尿酸、丙氨酸转氨酶、天冬氨酸转氨酶胆固醇、低密脂蛋白的差异具有统计学意义（t值分别为：6．473、4．238、7．406、6．810、8．350，P均〈0．01）。结论 广东省直属机关干部人群代谢综合征患病率较高，血压增高发生率最高，其他代谢异常的患病率也较高；代谢综合征常同时伴有多种其他检查指标的异常，应全面地进行防治。

Objective To investigate and analyze the prevalence of metabolic syndrome and its components among staffs of Guangdong. Methods One thousand six hundred and fifteen persons were enrolled in this survey. The medical check up data from the physical examination were analyzed. Results The prevalence of metabolic syndrome, obesity, hyper-triglyceridemia, hypo-HDL-C, hypertension, glucose metabolic disorder were 16. 3% ,27.6% ,22. 7%, 15.0% ,51.8%, 10. 7% respectively. The MS prevalence was increased with aging. Prevalences of 0-5 MS components were 31.5% ,31.2% ,22. 2%, 10. 0% ,4. 7% , 0. 3% respectively. It was significant difference between 2 groups that UA, ALT, AST, CHOL, LDL-ch （t value is 6.473,4. 238,7. 406,6. 810,8. 350, seperatly,P 〈 0. 01 ）. Conclusions The prevalence of MS is high in the staffs of Guangdong. The blood pressure increasing prevalence was maximal. The other components prevalences were high too. MS tends to be a many data abnormality disease, early detection and intervention are important.