上海市金山区农村脑卒中患者代谢综合征分布调查研究

Investigation of the metabolic syndrome distribution among stroke patients in rural area of Jinshan

目的探讨脑卒中与代谢综合征（MS）之间的关系,为脑卒中预防提供科学理论依据。方法随机抽取上海市金山区3个社区的现患脑卒中患者进行问卷调查,同时进行血压、身高、体重和腰围的测量以及血生化检查,运用χ2和F检验等方法对数据结果进行统计分析。结果农村脑卒中合并MS女性多于男性（χ2=9.478,P〈0.01）,主要集中在60~80岁年龄段,高血压和高血糖组合患者在脑卒中合并MS患者中所占比例最大（34.75%）,在与非MS脑卒中患者的比较中发现,体重指数（BMI）、血压值、空腹血糖、甘油三酯、高密度脂蛋白、高血压、糖尿病等情况MS组与非MS组有明显的差异。结论 MS各组分都是影响脑卒中发病的重要因素,重视以肥胖为基础合并高血压、高血糖的代谢综合征,针对性地控制及治疗MS各组分代谢异常情况,从早期进行干预,可预防和减少心脑血管疾病的发生、发展。

[Objective]To explore the relationship between stroke and metabolic syndrome（MS）, provide scientific basis for stroke prevention.[Methods] The stroke patients in three communities of Jinshan district were selected randomly and given a questionnaire survey. Their blood pressure, height, weight and waist circumference were measured and blood biochemical examination was conducted. The data were analyzed by 2 test and variance analysis.[Results] Female stroke patients with metabolic syndrome were more than male in rural areas（χ2=9.478,P〈0.01）. They were mainly concentrated in 60-80 age group.Patients with high blood pressure and high blood sugar accounted for the largest proportion（34.75%） in the stroke patients with metabolic syndrome. The differences of BMI, blood pressure, fasting glucose, triglycerides, high-density lipoprotein, high blood pressure and diabetes between MS group and non-MS group were statistically significant.[Conclusion]Every component of MS is an important factor that influencing the occurrence of stroke. We should attach importance to the metabolic syndrome based in obesity and combined with high blood pressure and high blood sugar, targeted control and treat the metabolic abnormalities in every components of MS, prevent and reduce the occurrence and development of cardiovascular and cerebrovascular diseases from the early intervention.