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目的了解医务人员中MS的发病情况及其影响因素。方法 1996名医务工作者,按年龄、工作性质分组,询问病史,测量身高、体重、WC、血压、血糖、血脂。结果 (1)使用2004年中华医学会糖尿病学分会(CDS)及2007年《中国成人血脂异常防治指南》修订的MS诊断标准,诊断医务人员MS的患病率分别为9.17%和11.16%。(2)MS患病率随年龄增长明显升高(P<0.01),且男性患病率高于女性(P<0.01)。(3)MS相关因素包括向心性肥胖、超重、高TC血症、低HDL-C血症、高血压、高血糖、非酒精性脂肪肝,其中,高血压发生率较普通人群升高。(4)MS患病率受工作性质影响。结论医务人员与普通人群相比MS发病率无明显差异,但MS患者中高血压的比例高于普通人群,提示紧张情绪、工作压力等精神心理因素可能在MS发病过程中起一定作用。
Objective To understand the incidence of MS in medical staff and its influencing factors. Methods A total of 1996 medical workers were divided into groups according to their age and nature of work. Their medical history was taken and their height, weight, WC, blood pressure, blood glucose and blood lipids were measured. Results (1) The prevalence of MS diagnosed as medical staff was 9.17% and 11.16% respectively using the MS diagnostic criteria revised by the 2004 Diabetes Society of the Chinese Medical Association (CDS) and the 2007 Guidelines for the Prevention and Treatment of Dyslipidemia in Chinese Adults. (2) The prevalence of MS was significantly increased with age (P <0.01), and the prevalence of MS was higher in women than in women (P <0.01). (3) MS related factors include central obesity, overweight, hypercholesteremia, hypo HDL-C, hypertension, hyperglycemia and non-alcoholic fatty liver. Among them, the incidence of hypertension is higher than that of the general population. (4) The prevalence of MS is affected by the nature of work. Conclusion There is no significant difference in the incidence of MS between medical staff and the general population. However, the prevalence of hypertension in MS patients is higher than that in the general population, suggesting that psychological and psychological factors such as stress and stress might play a role in the pathogenesis of MS.