某中医院校教职工代谢综合征检出率及组分分析

Prevalence and components analysis of metabolic syndrome among teaching staffs in a traditional Chinese medicine college

目的分析某中医院校教职工代谢综合征(MS)患病情况及其各组成成分构成情况。方法采用方便抽样法,以某中医院校参加健康检查的993名教职工为调查对象,分析其MS检出情况,MS相关单病种特点及聚集情况。结果有191名教职工检出MS,检出率为19.2%,且随着年龄的增加其MS检出率呈升高趋势(P<0.01);男性教职工MS检出率高于女性教职工(28.1%vs 9.5%,P<0.01)。超重和(或)肥胖、高血糖、高血压、甘油三酯(TG)异常和高密度脂蛋白胆固醇(HDL-C)异常教职工发生MS的风险分别是正常教职工的3.44、13.61、9.94、14.72和12.06倍。不同类型MS中高血糖+高血压+TG异常比例最高(占13.7%),且对教职工MS发病的危险度最大(比值比为5.86)。结论该中医院校教职工MS检出率随年龄的增加呈上升趋势;TG异常、HDL-C异常、高血糖和高血压是该人群MS防治的重点。

Objective To study the prevalence of metabolic syndrome（ MS）,and disease components among teaching staffs in a traditional Chinese medicine college.Methods A total of 993 teaching staffs of a traditional Chinese medicine college who participated physical health examination were selected as study subjects by convenience sampling method.The detection of MS,characteristics of MS related diseases and aggregation were analyzed.Results The incidence of MS was 19.2%（ 191/993）.It showed a linear upward trend with the increase of age（ P〈0.01）.The incidence of MS in male members was obviously higher than that in female members（ 28.1% vs 9.5%,P〈0.01）.The risk indexes of MS in staffs,including overweight and/or obesity, hyperglycemia, hypertension, triglyceride（ TG） abnormality and high-density lipoprotein cholesterol（ HDL-C） abnormality were 3.44,13.61,9.94,14.72 and 12.06 times of those with normal indexes respectively.The abnormal ratio of hyperglycemia,hypertension and TG was the highest（ 13.7%） in different types of MS,and the incidence of MS on staffs was the highest（ odds ratio 5.86）.Conclusion The detection rate of MS showed an upward trend with the increase of age among teaching staffs in this traditional Chinese medicine college,and there is a gender difference.TG and HDL-C abnormality,hypertension and hyperglycemia are the key points of prevention and treatment of MS in this population.