中老年人小肠系膜厚度与代谢综合征的相关性分析

发布时间：2019-02-13 13:03

【摘要】：目的分析中老年人小肠系膜厚度与代谢综合征(MS)的相关性。方法随机选取的沈阳市某社区中老年居民391例,其中MS组155例、非MS(NMS)组236例。采用超声检查测量两组局部小肠系膜厚度,分析小肠系膜厚度与MS及其组分的相关性。结果 MS组、NMS组小肠系膜厚度分别为(3.51±0.94)、(2.84±0.83)cm,两组相比,P0.01。调整血糖、血脂、血压、年龄和性别因素后,小肠系膜厚度与MS有关(OR 1.68,95%CI 1.19~2.39,P0.01)。调整年龄与性别因素后,无论MS组还是NMS组,小肠系膜厚度均与腰围呈正相关关系(r分别为0.44、0.49,P均0.01);MS组小肠系膜厚度与舒张压(DBP)呈正相关关系(r=0.19,P0.05)。结论中老年人小肠系膜厚度与MS发病存在相关性,小肠系膜越厚,MS发病风险越高;小肠系膜厚度与MS患者的中心性肥胖程度和血压值呈正相关。
[Abstract]:Objective to analyze the correlation between mesenteric thickness and metabolic syndrome (MS). Methods A total of 391 middle-aged and elderly residents in a community of Shenyang were randomly selected, including 155 cases in MS group and 236 cases in non-MS (NMS) group. The local mesenteric thickness was measured by ultrasound, and the correlation between mesenteric thickness and MS and its components was analyzed. Results the mesenteric thickness in MS group and NMS group was (3.51 卤0.94), (2.84 卤0.83) cm, P 0.01, respectively. After adjusting blood glucose, blood lipid, blood pressure, age and sex, the thickness of mesentery was related to MS (OR 1.6895 CI 1.19 2.39 P0.01). After adjusting for age and sex, there was a positive correlation between mesentery thickness and waist circumference in both MS group and NMS group (r = 0.44-0.49). There was a positive correlation between mesenteric thickness and diastolic blood pressure (DBP) in MS group (r = 0.19 P 0.05). Conclusion the thickness of mesentery is correlated with the incidence of MS, the thicker the mesentery, the higher the risk of MS, and the thickness of mesentery is positively correlated with the degree of central obesity and blood pressure in patients with MS.
【作者单位】： 中国医科大学附属第一医院;
【基金】：十二五国家科技支持计划课题(2012BAI02B03)
【分类号】：R589
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本文编号：2421573