糖尿病患者代谢综合征患病状况及影响因素分析

发布时间：2018-03-15 07:03

本文选题：代谢综合征　切入点：糖尿病　出处：《中国现代医学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的了解糖尿病患者代谢综合征(MS)的患病状况。方法选取2012年1月-2015年2月桐乡市第二人民医院门诊和病房收治的283例初诊糖尿病患者为研究对象,参考2010年中国高血压防治指南修订版中MS的诊断标准将患者分为MS组和非MS组,比较不同性别、年龄组患者的MS及其他组分的患病情况,采用多因素Logistic回归分析患者发生MS的影响因素。结果 190例(67.1%)糖尿病患者患有MS,其中女性MS的患病率为75.6%,高于男性患者的63.2%(P0.05)。青年、中年、老年患者MS的患病率分别为51.4%、67.0%和77.1%,其中女性患者中各年龄组的患病率分别为41.7%、75.9%和95.0%,3组比较差异均有统计学意义(P0.05)。男性和女性患者中年龄越大,血压升高的发生率越高(P0.05)。文化程度和吸烟是青年患者发生MS的独立影响因素(P0.05),性别是中年患者发生MS的独立影响因素(P0.05),性别和生活方式是老年患者发生MS的独立影响因素(P0.05)。结论超过2/3的糖尿病患者患有MS,女性糖尿病患者的MS患病率高于男性,MS和血压升高的患病率随年龄增长均呈升高趋势,吸烟可能增加青年患者MS患病风险,而体育锻炼可降低老年患者的MS患病风险。
[Abstract]:Objective to investigate the prevalence of metabolic syndrome (MS) in diabetic patients. Methods from January 2012 to February 2015, 283 newly diagnosed patients with diabetes were selected from outpatients and wards of Tongxiang second people's Hospital. The patients were divided into MS group and non-MS group according to the diagnostic criteria of MS in the revised edition of the Chinese guidelines for the Prevention and treatment of Hypertension in 2010. The prevalence of MS and other components in patients of different genders and age groups were compared. Results the incidence rate of MS in female patients was 75.6, which was higher than that in male patients (P 0.05). The prevalence of MS in elderly patients was 51.4% and 77.1%, respectively. The prevalence of MS in female patients was 41.75.9% and 95.0%, respectively. The higher the incidence of high blood pressure, the higher the incidence of MS. Education and smoking are the independent influencing factors of MS in young patients. Sex is the independent influencing factor of MS in middle-aged patients. Sex and lifestyle are independent factors of developing MS in elderly patients. Conclusion the prevalence of MS in more than 2/3 patients with diabetes mellitus is higher than that in men and the prevalence of hypertension increases with age. Smoking may increase the risk of MS in young patients, while physical exercise can reduce the risk of MS in elderly patients.
【作者单位】：浙江省桐乡市第二人民医院内分泌科;
【分类号】：R587.1;R589

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