老年人代谢综合征的相关代谢指标和脂联素水平的临床观察

Observation of the metablic indexes associated metabolic syndrome and serum adiponectin level in the elderly

目的 观察老年代谢综合征（MS）患者相关代谢指标和脂联素的变化.方法 对我院就诊的老年患者进行问卷调查、体格检查及血液生化指标测定,了解代谢综合征组与非代谢综合征组的相关代谢指标和脂联素值.结果 代谢综合征患者年龄、体重、体质量指数、腰围、舒张压、收缩压、空腹血糖、餐后2h血糖、甘油三酯、高密度脂蛋白胆固醇、脂联素水平比无代谢综合征者明显升高,差异有统计学意义;脂联素水平随MS代谢紊乱数目的增多而明显升高（P＜0.01）.结论 患有代谢综合征的老年患者相关代谢指标明显升高,脂联素也明显升高,提示脂联素与MS的发生可能相关,应加强对老年患者代谢综合征相关代谢指标及脂联素的监测.

Objective To observe the metablic indexes associated metabolic syndrome and serum adiponectin level in the elderly with metabolic syndrome.Methods The elderly in the outpatient service were studied by questionnaries,physical examination and determination of blood biochemical parameters,and relationship among the metablic indexes associated with metabolic syndrome and serum adiponectin level were analyzed.Results The levels of age,weight,body mass index,waist circumference,diastolic blood pressure,fasting plasma glucose,systolic blood pressure,two-hour post-load plasma glucose,triglyceride,high-density lipoprotein cholesterol and serum adiponectin level were increased in patients with metabolic syndrome than in participants without metabolic syndrome,which were significantly different,serum adiponectin level rised with the number of metabolic syndrome （P〈0.01）.Conclusion The metablic indexes associated with metabolic syndrome and serum adiponectin level increase significantly in the elderly with metabolic syndrome,which prompt that serum adiponectin may be related to metabolic syndrome,so monitoring for the metablic indexes associated metabolic syndrome and serum adiponectin level should be actively strengthened in the elderly.