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目的:为了解常山县机关干部糖尿病、高血压、血脂紊乱和代谢综合征(MS)及其相关危险因素发病状况,制定检测和治疗MS的卫生策略。方法:测量患者身高、体重和血压;检测空腹血糖、甘油三酯和高密度脂蛋白,分析MS的发生情况。结果:MS患病率平均15.33%;其中男性患病率为18.68%,女性患病率为8.87%,男性高于女性。相关危险因素甘油三脂偏高、超重、总胆固醇偏高、高血压、血糖偏高、低高密度脂蛋白胆固醇、肥胖患病率分别为28.75%、24.56%、18.27%、14.39%、4.33%、2.84%、2.27%;各组患病率男性均高于女性(P<0.01)。男、女MS患病率均随着年龄的增加而增高,危险因素肥胖、高血压、糖尿病、高甘油三酯血症的患病率也随着年龄的增加而增高,但肥胖患病率和总胆固醇偏高在50岁以前男性高于女性,而50岁以后女性则高于男高于男性。结论:常山县机关干部MS发病情况严重,且存在增龄效应,应及早开展综合防治。
OBJECTIVE: To understand the prevalence of diabetes mellitus, hypertension, dyslipidemia and metabolic syndrome (MS) and related risk factors among cadres in Changshan County, and to develop a health strategy to detect and treat MS. Methods: The patient’s height, weight and blood pressure were measured. The fasting blood glucose, triglycerides and high density lipoprotein were measured. The incidence of MS was analyzed. Results: The prevalence of MS was 15.33% on average, of which the prevalence was 18.68% in males and 8.87% in females, and higher in males than in females. Relative risk factors of triglyceride were high, overweight, high total cholesterol, high blood pressure, high blood sugar, low-density lipoprotein cholesterol, obesity prevalence were 28.75%, 24.56%, 18.27%, 14.39%, 4.33% , 2.84% and 2.27%, respectively. The prevalence rates in each group were higher than those in women (P <0.01). Male and female MS prevalence rates increased with age, the risk factors for obesity, hypertension, diabetes, hypertriglyceridemia prevalence also increased with age, but the prevalence of obesity and High total cholesterol in men before 50 years of age than women, while women after 50 years of age is higher than men than men. Conclusion: The incidence of MS in cadres in Changshan County is serious, and there is an aging effect. Comprehensive prevention and treatment should be carried out as early as possible.