CAJ | 학술논문

目的了解北京市周边农村中老年妇女人群代谢综合征的患病情况,以便为本地区心血管病预防提供依据.方法选择2008年2-6月房山区良乡镇周边11个村,找到当地50岁以上妇女的年龄构成比,根据年龄构成比将按年龄顺序排列的人数进行随机抽样人数组成本次调查人群.对其体质量、腰围、血压、血糖、血脂等指标按我国中华医学会糖尿病学分会关于代谢综合征的诊断标准(2004年)进行调查及统计分析.结果北京市房山区周边农村地区中老年妇女代谢综合征的患病率33.98%,高血糖患病率19.14%,高血压患病率62.89%,高脂血症患病率45.70%,肥胖患病率67.19%.代谢综合征组患者年龄、腰围均大于正常组,差异有统计学意义(P＜0.05).不同年龄组腰围比较差异有统计学意义(P＜0.05),且50岁以上组舒张压高于其他组,差异均有统计学意义(P＜0.05).结论该地区中老年女性肥胖、血脂异常、高血压、糖尿病的患病率显著增加,代谢综合征患病率已达很高水平,提示需进一步加强对代谢综合征的认识.
목적 료해북경시주변농촌중노년부녀인군대사종합정적환병정황,이편위본지구심혈관병예방제공의거.방법 선택2008년2-6월방산구량향진주변11개촌,조도당지50세이상부녀적년령구성비,근거년령구성비장안년령순서배렬적인수진행수궤추양인수조성본차조사인군.대기체질량、요위、혈압、혈당、혈지등지표안아국중화의학회당뇨병학분회관우대사종합정적진단표준(2004년)진행조사급통계분석.결과 북경시방산구주변농촌지구중노년부녀대사종합정적환병솔33.98%,고혈당환병솔19.14%,고혈압환병솔62.89%,고지혈증환병솔45.70%,비반환병솔67.19%.대사종합정조환자년령、요위균대우정상조,차이유통계학의의(P＜0.05).불동년령조요위비교차이유통계학의의(P＜0.05),차50세이상조서장압고우기타조,차이균유통계학의의(P＜0.05).결론 해지구중노년녀성비반、혈지이상、고혈압、당뇨병적환병솔현저증가,대사종합정환병솔이체흔고수평,제시수진일보가강대대사종합정적인식.
Objective To study the prevalence of metabolic syndrome (MS) in elderly women in rural areas of Beijing so as to provide basis for prevention of cardiovascular diseases in the local areas.Methods A total of 256 elderly women more than 50 years from 11 villages around Liangxiang town of Fangshan district in Beijing were randomly sampled from February to June 2008,The diagnosing criteria of MS by Chinese Diabetes Society of Chinese Medical Association (2004),including body mass,waistline,blood pressure,blood sugar and blood fats,were used in survey and statistical analysis.Results Among the elderly women in rural areas around Fangshan district in Beijing,the prevalence was 33.98% for MS,19.14% for hyperglycemia,62.89% for hypertension,45.70% for hyperlipemia,and 67.19% for obesity.The age and waistline were larger in MS patient than in normal subjects (P＜0.05).There was significant difference in waistline among subjects with different age groups (P＜0.05),and the diastolic blood pressure was higher in age group more then 50 years than other groups (P＜0.05).Conclusion The morbidities obesity,hyperlipemia,hypertension,and diabetes are remarkably increased among the elderly women in rural areas around Fangshan district in Beijing,and the prevalence of MS is very high,which should be paid more attention to.