本文選題：代謝綜合征 + 患病率��； 參考：《山西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:了解山西省呂梁地區(qū)成人常住居民代謝綜合征(metabolic syndrome MS)患病情況、分布特點及其相關(guān)危險因素。并比較2016年修訂版《中國成人血脂異常防治指南》、CDS和IDF三種MS診斷標(biāo)準(zhǔn)的敏感性及診斷結(jié)果一致性。方法:數(shù)據(jù)來源于2013年-2015年呂梁地區(qū)心血管疾病危險因素篩查,共3339人。運用SPSS19.0進(jìn)行數(shù)據(jù)分析。計量資料運用t檢驗,率的比較采用χ2檢驗和趨勢χ2。運單因素、多因素Logistic回歸分析MS危險因素。使用Kappa值、ROC曲線判斷MS結(jié)果一致性及診斷敏感性。結(jié)果:MS在《指南》、IDF、CDS診斷標(biāo)準(zhǔn)下檢出率分別為35.28%、30.13%、31.99%,差異有統(tǒng)計學(xué)意義(P0.05);呂梁地區(qū)男性、退休人員、飲食口味偏咸、超重、肥胖為MS危險因素(P0.05)。經(jīng)常吃蔬菜是MS保護(hù)因素(P0.05);《指南》和CDS標(biāo)準(zhǔn)檢出一致性較高,K=0.649;以2005為參照標(biāo)準(zhǔn),2016標(biāo)準(zhǔn)靈敏度最高62.99%,以2004為參照標(biāo)準(zhǔn),2016靈敏度82.80%。結(jié)論:呂梁地區(qū)MS患病與國內(nèi)其他地區(qū)比較相當(dāng)高,且與多種因素有關(guān),2016指南可以較好篩查40歲以上MS重點人群,應(yīng)采取相應(yīng)公共衛(wèi)生措施預(yù)防與干預(yù)。
[Abstract]:Objective: to investigate the prevalence, distribution and risk factors of metabolic syndrome (metabolic syndrome MS) in adult residents in Lv Liang area of Shanxi province. The sensitivity and diagnostic results of CDS and IDF were compared in the revised Chinese guidelines for the Prevention and treatment of Adult dyslipidemia in 2016. Methods: data from 2013-2015 Lv Liang area cardiovascular risk factors screening, a total of 3339 people. SPSS 19.0 was used for data analysis. T test was used to measure the data, and 蠂 2 test and trend 蠂 2 were used to compare the rate. Multiple logistic regression analysis was used to analyze the risk factors of MS. Kappa value and ROC curve were used to judge the consistency of MS results and diagnostic sensitivity. Results the detectable rate of 7% MS was 35.28 ~ 30.13 and 31.99 ~ 99 respectively under the diagnostic criteria of IDFU CDS (P0.05), while male, retired, salty, overweight and obesity were risk factors of MS in Lv Liang area (P0.05). Eating vegetables regularly was the protective factor of MS (P0.05), the consistency between the guidelines and the CDS standard was higher than that of the control group (P 0.05), and the sensitivity of 2005 was the highest, and the sensitivity of 2004 was 82.80. Conclusion: the prevalence of MS in Lv Liang area is higher than that in other regions in China, and the guidelines related to various factors can better screen the key population of MS over 40 years old, and the corresponding public health measures should be taken to prevent and intervene.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R589

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