体检人群代谢综合征患病现状分析

Prevalence Analysis of Metabolic Syndrome in People Undergoing Health Eexamination

目的了解体检人群代谢综合征(MS)的患病现状,为疾病防治提供依据。方法收集2015-07/12在四川大学华西医院健康管理中心行健康检查的38 573例体检人群资料,了解MS患病情况以其危险因素分析。结果 MS患病率总体为14.5%,其中男性MS患病率为20.47%,女性为8.94%,两者比较差异有统计学意义(P<0.05)。MS检出率高峰在>60岁年龄段,为31.59%。MS患者5项组合356例(5.94%),4项组合1 713例(28.57%),3项组合3 926例(65.49%)。MS的表现形式多样,其中以中心性肥胖,血脂异常(TG增高和或HDL降低),高血压的组合形式所占比例最高,为24.80%。经Logistic回归分析结果显示年龄、男性、腰围、BMI、收缩压、舒张压、血糖、甘油三酯、LDL、尿酸、胱抑素C是MS的危险因素(P<0.05),HDL是MS的保护性因素(P<0.05)。结论体检人群代谢综合征患病率较高,应积极控制各种危险因素,制定有效的干预措施,降低代谢相关性疾病的患病率。

Objective To investigate the prevalence rate of Metabolic Syndrome(MS),and provide scientific evidence for prevention and treatment of the disease.Methods he physical examination data of 38 573 people who took the health examination in West China Hospital From July to December,2015.The general prevalence rate of MS and metabolic abnormalities analyzed.Results The detection rate of MS was 14.5%in total,20.47%in the males,8.94%in the females.There was difference between the males and the females(P<0.05).The highest detection rate of MS was in the age group of>60 years old(31.59%).There were 356 people of five abnormal components(5.94%),there were 1 713 people of four abnormal components(28.57%),there were 3 926 people of three abnormal components(65.49%).The most common combination of MS were central obesity,dyslipidemia and hypertention(24.80%).The logistic regression analysis revealed that age,male,waistline,BMI,systolic pressure,diastolic pressure,glyeaemia level,triglyceride,LDL,Uric acid,and cystatin C were the major risk factors of MS and blood HDL-C level was a protective factor of MS.Conclusion The prevalence rate of MS in chengdu was a little high.Effective intervention measures and controlling of risk factors should be made in order to reduce the prevalence rate of diseases relating to metabolism.