摘要
目的 探讨大理白族自治州老年代谢综合征（MS）患者的临床特点.方法 选择2007年1月～2011年12月我院门诊体检或住院且资料完整的患者1068例,根据2007年中国成人血脂异常防治指南MS诊断标准（2007MS标准）,分为MS组386例和非MS组682例.比较2004年中华医学会糖尿病学分会MS标准（2004 MS标准）与2007年MS标准差异,分析年龄60～69岁118例,70～79岁186例和≥80岁82例MS患病情况及代谢异常组分的临床特点.结果 2007 MS标准的MS患病率为36.14％,与非MS组比较,MS组男性比例明显升高（59.59％ vs 52.50％,P=0.029）,且64.42％的老年人同时有≥2种代谢异常.2004 MS标准的MS患病率为31.27％.高血压发生率最高,且2007 MS标准较2004 MS标准明显升高（67.13％ vs 63.39％,P=0.03）,≥80岁较60～69岁MS血脂紊乱十高血压十高血糖组合患病率明显升高（45.12％ vs 36.44％,P＜0.01）.结论 大理白族自治州老年人群2004MS标准和2007MS标准下MS及各代谢异常患病率高,高血压是最常见的异常组分,制定基于社区老年人MS的干预策略,降低心血管事件的发生非常必要.
Objective To study the clinical features of elderly metabolic syndrome （MS） patients in Dali Bai Autonomous Prefecture.Methods A total of 1068 patients admitted to our hospital from January 2007 to December 2011 were divided into MS group （n=386） and non-MS group （n=682）.The clinical features of MS patients with their age≥60 years in Dali Bai Autonomous Prefecture were analyzed.Results The incidence of MS was 36.14％ in MS group,which was higher in male MS patients than in female MS patients and higher than that in non-MS group （P＜ 0.05）.More than 2 metabolic disorders were found in 64.42％ of elderly subjects.The incidence of hypertension was ＞50％,which was higher than that of other metabolic diseases.The incidence of hypertension was significantly higher in male patients than in female patients.The incidence of moderate-severe hyperlipemia,hypertension and hyperglycemia increased with the age in MS patients.Conclusion The incidence of MS and its related metabolic disorders is high in the elderly population in Dali Bai Autonomous Prefecture.Hypertension is most common in MS patients.Intervention strategies should be worked out to reduce the incidence of cardiovascular events in community elderly MS patients.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2014年第7期711-715,共5页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词
代谢疾病
血脂异常
高血压
高血糖症
流行病学
metabolic diseases
dyslipidemias
hypertension
hyperglycemia
epidemiology
