不同MS诊断标准在农村维吾尔族应用比较

Comparison of different MS diagnostic criteria in rural Uy­ghur

目的:比较美国国家胆固醇教育计划成人治疗组第三次指南(NCEP-ATPⅢ)、国际糖尿病联盟(IDF)、中华糖尿病学会(CDS)及中国成人血脂异常防治指南(GCADP)诊断代谢综合征(MS)的标准在农村维吾尔族应用的差异。方法:采不同阶段分层抽样的方法从2007年至2013年,抽取1650例维吾尔族成人,进行横断面调查,采用不同种MS的诊断标准比较诊断MS的符合率。结果:诊断MS的患病率以.NCEP-ATPⅢ最高,各组MS检出率差异有统计学意义(P<0.01)。诊断一致性最高是NCEP-ATPⅢ与IDF,一致率为98.2%,Kappa值为0.942。结论:四种标准诊断农村维吾尔族MS的患病率,以NCEP-ATPⅢ检出MS的患病率最高;对于不同危险因素,IDF标准更有优势。本着预防为主的原则,建议首选NCEP-ATPⅢ标准和IDF标准为诊断农村维吾尔族MS。

Objective:the differences in the four diagnostic criteria for MS in rural Uygur were compared,­to provide scientific evidence for determining metabolic syndrome intervention strategies in rural areas of xinjiang.Methods:From 2007 to 2013,1650 Uyghur adults were selected by multi-stage stratified sampling and cross-sec­tional survey was conducted.The coincidence rate of MS diagnosis was compared with 4 MS diagnostic criteria.Results:4 kinds of standard in the diagnosis of MS group prevalence in NCEP-ATPⅢhighest standard.The MS detection rates of the four diagnostic criteria were significantly different(P<0.05).Diagnostic consistency the highest standard of NCEP-ATPⅢand IDF standards,consistent rate was 98.2%,the Kappa value was 0.942.Conclusion:The prevalence of four standard in the diagnosis of rural Uygur MS,NCEP-ATPⅢstandard MS the highest detection rate,but for different risk factors,the IDF criteria have more advantages,based on the prin­ciple of prevention first,suggest the preferred NCEP-ATPⅢand IDF standards for the diagnosis of rural Uygur metabolic syndrome.