老年代谢综合征患者与心脑血管疾病关系探讨

A Study on Metabolic Syndrome and Cardiovascular Disease in Elderly People

目的:探讨门诊老年体检人群中代谢综合征(MS)的发病率,以及分布情况及合并心脑血管病的状况。方法:对580例老年人进行健康体检,按年龄分为三组,分别为A组60～69岁,B组70～79岁,C组≥80岁,同时有150例非老年人(<60岁)为Ⅱ组作为对照组,分析各组中冠心病(CHD)、高血压(HP)、肥胖及血脂异常情况。结果:老年组Ⅰ组(A+B+C组)中MS的患病率为30%,非老年组(Ⅱ组)为16%;老年组HP的患病率为54%,肥胖为42.9%,血脂异常为35%,高血糖为35%;老年组174例MS患者中,高血压的患病率为91.3%,肥胖为83.3%,血脂异常为74%,高血糖为71%。MS患者中CHD、脑卒中等疾病的患病率显著高于非MS受检者。结论:MS的高患病率预示心脑血管病患病率的增加。

Objective：To investigate the morbidity of metabolic syndrome（MS）in elderly people with or without cardi-ovascular disease.Methods：Totally 580cases were divided into three groups：group A（patients aged 60～69years old）,group B（patients aged 70～79years old）and group C（patients aged 80and over）.150patients below aged 60was as a control group.Results：30% of all elderly cases had MS.16%of control group had MS.In old people,the morbidity of hypertension,central obesity,dyslipidemia and hyperglycemia was 54%,42.9%,35% and 35%,respectively.Among 174patients with MS,the morbidity of them was 91.3%,83.3%,74% and 71%,respectively.The morbidity of CHD,hyperuricemia and stroke in patients with MS was higher than that in patients without MS.Conclusion：MS is common in old people,and it may be considered as a risk factor for heart,brain and metabolic diseases.