摘要
目的:探讨海洋石油湛江基地离退休员工代谢综合征(metabolic syndrome,MS)的患病率及其危险因素。方法:采用2007年《中国成人血脂异常防治指南》诊断标准,对海洋石油湛江基地离退休员工4 346例进行了问卷调查和体检资料分析。结果:(1)MS的总患病1 189例(27.36%),男性942例(26.78%),女性247例(29.79%)。两性患病率比较差异有统计学意义(P<0.05或P<0.01)。血脂异常占首位,3 729例(85.80%),其余依次为腹部肥胖3 503例(80.60%),高血糖3 190例(73.40%)和高血压3 116例(71.70%),3项指标异常2 526例(58.12%),4项指标异常945例(21.74%),5项指标异常866例(19.93%)。MS发病率随增龄升高,腰围(WC)、胰岛素抵抗指数(HOMA-IR)、年龄、高密度脂蛋白胆固醇(HDL-C)是主要影响MS的独立危险因素。结论:海洋石油湛江地区离退休员工MS患病率较高,急需对新生代员工加强MS防治和健康教育工作。
Objective： To investigate the prevalence rate and risk factors of metabolic syndrome（MS） in offshore oil base retired employees in Zhanjiang.Methods： 4346 offshore oil base retired employees were given questionnaire survey and medical data analysis with the diagnostic criteria of 2007 ＂Guide for prevention and treatment of the Chinese adult dyslipidemia＂.Results： The total prevalence rate of MS was 27.35%,male 26.78% and 29.79% for female with a significant difference between the two genders（P0.05 or P0.01）.In the MS population,dyslipidemia accounted for 85.8%,abdominal obesity accounted for 80.6%,hyperglycemia accounted for 73.4%,and hypertension accounted for 71.7%.58.12% had three abnormal components,21.95% with four abnormal components and 19.93% with five abnormal components.MS incidence increased with age.Waist circumference（WC）,insulin resistance index（HOMA-IR）,age and high density lipoprotein cholesterol（HDL-C） were the major independent risk factors for MS.Conclusion： The offshore oil retired employees in Zhanjiang have high prevalence rate of MS,and MS prevention and relevant health education are therefore urgent for the new employees.
出处
《交通医学》
2011年第2期169-171,174,共4页
Medical Journal of Communications
基金
湛江市科技攻关项目(湛科[2003]70号文医学六第25号
湛科[2009]59号文2009C3103011)
关键词
代谢综合征
海洋石油
离退休员工
患病率
危险因素
metabolic syndrome
Offshore oil
retired employees
prevalence rate
risk factors
