CAJ | 학술논문

目的：研究3种代谢综合征（MS）诊断标准下海宁市农村居民MS的患病率，比较各诊断标准的一致性。方法通过多阶段分层整群抽样的方法，随机抽取海宁市4个镇18岁及以上居民1475人进行问卷调查、体格检查及实验室检测。按照中华医学会糖尿病学分会诊断标准（CDS）、国际糖尿病联盟诊断标准（IDF）和2005年美国心脏病学会（AHA）修订版的美国国家胆固醇教育计划（NCEP）专家组诊断标准（ATPⅢ）分别计算MS的患病率，并对结果进行比较及一致性检验。结果按照CDS、IDF和ATPⅢ标准，海宁市农村居民MS的患病率分别为8.41%、17.97%和23.59%；IDF和ATPⅢ、IDF和CDS、ATPⅢ和CDS标准间两两一致性分别为93.47%、86.24%和83.32%，Kappa值分别为0.83、0.41和0.41。结论在实际运用中，3种诊断标准可以结合不同的要求进行选择。
목적：연구3충대사종합정（MS）진단표준하해저시농촌거민MS적환병솔，비교각진단표준적일치성。방법통과다계단분층정군추양적방법，수궤추취해저시4개진18세급이상거민1475인진행문권조사、체격검사급실험실검측。안조중화의학회당뇨병학분회진단표준（CDS）、국제당뇨병련맹진단표준（IDF）화2005년미국심장병학회（AHA）수정판적미국국가담고순교육계화（NCEP）전가조진단표준（ATPⅢ）분별계산MS적환병솔，병대결과진행비교급일치성검험。결과안조CDS、IDF화ATPⅢ표준，해저시농촌거민MS적환병솔분별위8.41%、17.97%화23.59%；IDF화ATPⅢ、IDF화CDS、ATPⅢ화CDS표준간량량일치성분별위93.47%、86.24%화83.32%，Kappa치분별위0.83、0.41화0.41。결론재실제운용중，3충진단표준가이결합불동적요구진행선택。
Objective To compare the applicability of three different diagnosing criteria for metabolic syndrome (MS) in rural residents. Methods Total 1 475 residents aged over 18 from 4 towns of Haining City were selected by multi- stage stratified random sampling method. A survey on prevalence of metabolic syndrome was conducted, which included questionnaire survey, physical examination and blood biochemical tests. The prevalence of metabolic syndrome was calculated according to the defi-nitions proposed by ATPⅢ, IDF and CDS, respectively. The results were compared and the consistency was tested. Results The prevalence rates of MS were 8.41%, 17.97%and 23.59%based on CDS, IDF and ATPIII diagnostic criteria respectively. The agreement rates between IDF and ATPIII, IDF and CDS, ATPIII and CDS were 93.47%, 86.24%and 83.32%, respectively, and the Kappa indices were 0.83, 0.41 and 0.41. Conclusion Al the three definitions may apply to rural residents depending on different needs. Each need to be further evaluated and studied.