本文選題：代謝綜合征X + 流行病學(xué)�。� 參考：《中國全科醫(yī)學(xué)》2017年33期

【摘要】：目的了解四川省西南地區(qū)漢族、彝族、苗族居民代謝綜合征(MS)患病情況,為MS預(yù)防和干預(yù)提供參考依據(jù)。方法 2013年1月—2014年12月,采用多階段整群隨機(jī)抽樣法,抽取四川省涼山彝族自治州、宜賓市、樂山市、瀘州市共20個(gè)少數(shù)民族相對(duì)集中的鄉(xiāng)鎮(zhèn)的1 108例居民為調(diào)查對(duì)象。采用自制問卷進(jìn)行問卷調(diào)查,并對(duì)居民進(jìn)行體格檢查和實(shí)驗(yàn)室檢查。根據(jù)國際糖尿病聯(lián)盟(IDF)2005年制定的MS診斷標(biāo)準(zhǔn)統(tǒng)計(jì)MS患病率并進(jìn)行分析。結(jié)果共發(fā)放調(diào)查問卷1 108份,回收有效問卷1 022份,有效回收率為92.2%。其中男552例,女470例;18~30歲173例,30~45歲290例,45~60歲322例,≥60歲237例;漢族456例,彝族361例,苗族205例。居民MS粗患病率為15.4%(157/1 022)。不同年齡居民MS患病率比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05);漢族居民MS患病率(19.5%)高于彝族(11.6%)、苗族(12.7%)居民(P0.05);不同性別居民MS患病率比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。男性居民中心性肥胖發(fā)生率低于女性,低高密度脂蛋白膽固醇(HDL-C)發(fā)生率高于女性(P0.05);不同年齡段居民中心性肥胖、高三酰甘油(TG)、低HDL-C、高血壓、血糖異常發(fā)生率比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05);不同民族居民中心性肥胖、高TG、高血壓、血糖異常發(fā)生率比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論川西南地區(qū)漢族、彝族、苗族居民MS患病率和全國平均水平相當(dāng)。合理維持健康體質(zhì)量是有效預(yù)防MS的最關(guān)鍵舉措,應(yīng)加強(qiáng)人群健康教育,培養(yǎng)合理飲食和運(yùn)動(dòng)習(xí)慣,降低MS的發(fā)生率。
[Abstract]:Objective to investigate the prevalence of metabolic syndrome (MS) in Han Yi and Miao nationalities in southwest Sichuan Province and to provide reference for prevention and intervention of MS. Methods from January 2013 to December 2014, 1,108 residents from 20 towns with relatively concentrated ethnic minorities were selected from Liangshan Yi Autonomous Prefecture, Yibin City, Leshan City and Luzhou City, Sichuan Province. A self-made questionnaire was used to investigate the residents' physical examination and laboratory examination. The prevalence of MS was calculated and analyzed according to the MS diagnostic criteria established by IDF in 2005. Results A total of 1 108 questionnaires were distributed and 1 022 valid questionnaires were collected. The effective recovery rate was 92. 2%. Among them, 552 males, 470 females, 173cases aged 1830 years old, 290 cases aged 303045 years old, 322 cases aged 4560 years old, 237 cases 鈮，

本文編號(hào)：1871754