中华内科杂志
中華內科雜誌
중화내과잡지
CHINESE JOURNAL OF INTERNAL MEDICINE
2008年
1期
23-26
,共4页
谢自敬%郭念昆%毛新民%李琳琳
謝自敬%郭唸昆%毛新民%李琳琳
사자경%곽념곤%모신민%리림림
X综合征%诊断%腰围
X綜閤徵%診斷%腰圍
X종합정%진단%요위
Syndrome X%Diagnosis%Waist circumference
目的 研究国际糖尿病联盟(IDF)和美国国家胆固醇教育计划Ⅲ(ATPⅢ)两个代谢综合征(MS)诊断标准对MS的诊断差异及合理性.方法 横断面调查乌鲁木齐市新市区社区及喀什市及周边县与乡的维吾尔族居民5240人MS患病情况.结果 (1)按IDF诊断标准纳入MS的3个以上危险因素者共1328例,ATPⅢ纳入了1527例,IDF标准比ATPⅢ标准少纳入了199例,少纳入的199例均含3~4个危险因素.(2)按ATPⅢ标准共纳入符合MS标准的糖调节异常、血压调节异常及脂调节异常患者比IFD标准多759例,比IDF标准多纳入22%.结论 ATPⅢ对MS的诊断更客观,对MS的理论留有更多的空间.
目的 研究國際糖尿病聯盟(IDF)和美國國傢膽固醇教育計劃Ⅲ(ATPⅢ)兩箇代謝綜閤徵(MS)診斷標準對MS的診斷差異及閤理性.方法 橫斷麵調查烏魯木齊市新市區社區及喀什市及週邊縣與鄉的維吾爾族居民5240人MS患病情況.結果 (1)按IDF診斷標準納入MS的3箇以上危險因素者共1328例,ATPⅢ納入瞭1527例,IDF標準比ATPⅢ標準少納入瞭199例,少納入的199例均含3~4箇危險因素.(2)按ATPⅢ標準共納入符閤MS標準的糖調節異常、血壓調節異常及脂調節異常患者比IFD標準多759例,比IDF標準多納入22%.結論 ATPⅢ對MS的診斷更客觀,對MS的理論留有更多的空間.
목적 연구국제당뇨병련맹(IDF)화미국국가담고순교육계화Ⅲ(ATPⅢ)량개대사종합정(MS)진단표준대MS적진단차이급합이성.방법 횡단면조사오로목제시신시구사구급객십시급주변현여향적유오이족거민5240인MS환병정황.결과 (1)안IDF진단표준납입MS적3개이상위험인소자공1328례,ATPⅢ납입료1527례,IDF표준비ATPⅢ표준소납입료199례,소납입적199례균함3~4개위험인소.(2)안ATPⅢ표준공납입부합MS표준적당조절이상、혈압조절이상급지조절이상환자비IFD표준다759례,비IDF표준다납입22%.결론 ATPⅢ대MS적진단경객관,대MS적이론류유경다적공간.
Objective To study the difference between the metabolic syndrome(MS)diagnosis made with International Diabetes Federation(IDF)worldwide definition and the Adult Treatment Panel Ⅲ (ATPⅢ)of National Cholesterol Education Program(NCEP).Methods Cross-sectional study and descriptive study were used.Results There were 1328 MS patients diagnosed with IDF and 1527 MS patients diagnosed with ATPⅢ.There were 199 MS patients diagnosed with ATPⅢbut not with IDF and these MS patients all had 3-4 risk factors.According to the abnormality of glucose.blood pressure and lipid regulation stated in ATPⅢ criteria.759 more patients were diagnosed as MS than with IDF criteria.Conclusions MS diagnosed with ATP Ⅲ criteria iS more objective than with IDF criteria and ATPⅢ criteria has more space for further theoretical study.