健康体检中心对代谢综合征健康管理的效果评价

Health management for the metabolic syndrome in health examination center

目的探讨如何在健康体检中心对代谢综合征进行合理有效的健康管理。方法收集代谢综合征(MS)患者153例,并设立正常对照组。对患者进行健康管理12个月后,全面体检并进行效果评价。结果 MS组的腰围、体重指数、收缩压、舒张压、血脂均比正常对照组高,且差异有统计学意义(P<0.01)。Logistic回归分析显示甘油三酯、腰围、收缩压、血糖、高血压及糖尿病家族史、运动对MS的发生有影响(P<0.05),其中运动是保护因素,OR值分别为1.614、1.523、1.310、1.185、0.578、0.513、1.822。健康管理后,所有检测指标均有所下降,其中腰围、收缩压、舒张压、空腹血糖、胆固醇、甘油三酯、低密度脂蛋白胆固醇有统计学意义(P<0.05)。结论血脂、腰围、收缩压、血糖、高血压及糖尿病家族史是MS的主要危险因素。

Objective To explore how to perform effective health management for the metabolic syndrome（MS） in the health examination center. Methods A total of 153 subjects diagnosed with MS and the same number of healthy controls were analyzed. All patients received health management for 12 months and an impact evaluation was conducted. Results Waist circumference, IBM, SBP, DBP, blood lipids of MS group were remarkably higher than those in normal control group, and there was statistical significance （P〈0.01）. Logistic regression analysis showed that TG, waist, SBP, FPG, family history of diabetes/hypertension and exercise （P〈0.05） were the major risk of MS, in which exercise was protective factor. OR were 1.614, 1.523, 1.310, 1.185, 0.578, 0.513, and 1.822 respectively. After health management, all test parameters including waist circumference, SBP, DBP, FPG, TC, TG, LDL-C were decreased, and there was statistical significance （P〈0.05）. Conclusions Blood lipids, waist circumference, SBP, FPG, and family history of diabetes and hypertension are major risk factors for MS.