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目的:调查了解中老年机关干部代谢综合征(MS)患病情况,为其综合防治提供依据。方法:采用问卷调查、查体及相关实验室检查等方法收集某部中老年机关干部的病史、生化指标等相关数据,根据检查结果分为MS组71例和非MS组161例,比较两组存在危险因素情况。结果:受检人群中,同时存在4种及以上危险因素者22例,占9.5%;中老年机关干部MS发病率显著高于北京地区MS检出率;MS组体重指数、收缩压、舒张压、空腹血糖、三酰甘油水平均显著或非常显著高于非MS组(P<0.05,P<0.01);非MS组高密度脂蛋白水平非常显著高于MS组(P<0.01)。结论:中老年机关干部代谢综合征发病率高,应采取以胰岛素抵抗为靶点的多重危险因素综合防治措施。
Objective: To investigate the prevalence of metabolic syndrome (MS) among middle-aged and elderly cadres and provide evidence for its comprehensive prevention and treatment. Methods: According to the results of questionnaire, physical examination and related laboratory tests, the data of the history, biochemical indexes and other related data of cadres in a middle-aged and elderly department were collected. According to the examination results, the data were divided into MS group (71 cases) and non-MS group There are risk factors. Results: Among the subjects tested, there were 22 cases with at least 4 risk factors, accounting for 9.5%. The incidence of MS in middle-aged and elderly cadres was significantly higher than that in Beijing. The body mass index, systolic blood pressure, diastolic blood pressure (P <0.05, P <0.01). The levels of high density lipoprotein in non-MS group were significantly higher than those in MS group (P <0.01). Conclusion: Middle aged and elderly cadres with high incidence of metabolic syndrome should take a comprehensive prevention and treatment of multiple risk factors with insulin resistance as the target.