CAJ | 학술논문

目的：比较3种代谢综合征诊断标准在北京某镇中年农民人群中应用的差异。方法于2010年2月至2013年4月采用随机抽样方法，从北京市丰台区长辛店镇周边抽取40~65岁的中年农民632例为研究对象，男性258例，女性374例，平均年龄（54.5±10.4）岁。采用中华医学会糖尿病分会（CDS）、国际糖尿病联盟（IDF）和经美国心脏协会（AHA）修订的美国国家胆固醇教育计划成人治疗组第三次报告（ATPⅢ）3种诊断标准诊断入选人群的代谢综合征患病率，并比较三种标准的符合率。结果 CDS与IDF、NCEP-ATPⅢ诊断的患者，分别有72.3％和88.4％患者相一致，CDS与NCEP-ATPⅢ的诊断符合率较高，Kappa系数为0.887，采用配对χ2检验，显示两种诊断标准诊断MS患病率差异有统计学意义（P＜0.01）；CDS与IDF的诊断符合率略低，Kappa系数为0.725，采用配对χ2检验显示两种诊断标准下MS患病率差异有统计学意义（P＜0.01）。结论3种标准在代谢综合征的诊断结果上存在差异，CDS与NCEP-ATPIII的诊断符合率较高，CDS与IDF的诊断符合率略低。
목적：비교3충대사종합정진단표준재북경모진중년농민인군중응용적차이。방법우2010년2월지2013년4월채용수궤추양방법，종북경시봉태구장신점진주변추취40~65세적중년농민632례위연구대상，남성258례，녀성374례，평균년령（54.5±10.4）세。채용중화의학회당뇨병분회（CDS）、국제당뇨병련맹（IDF）화경미국심장협회（AHA）수정적미국국가담고순교육계화성인치료조제삼차보고（ATPⅢ）3충진단표준진단입선인군적대사종합정환병솔，병비교삼충표준적부합솔。결과 CDS여IDF、NCEP-ATPⅢ진단적환자，분별유72.3％화88.4％환자상일치，CDS여NCEP-ATPⅢ적진단부합솔교고，Kappa계수위0.887，채용배대χ2검험，현시량충진단표준진단MS환병솔차이유통계학의의（P＜0.01）；CDS여IDF적진단부합솔략저，Kappa계수위0.725，채용배대χ2검험현시량충진단표준하MS환병솔차이유통계학의의（P＜0.01）。결론3충표준재대사종합정적진단결과상존재차이，CDS여NCEP-ATPIII적진단부합솔교고，CDS여IDF적진단부합솔략저。
Objective To compare the application of 3 diagnostic criteria for metabolic syndrome (MS) in farmers of middle age in a village of Beijing area. Methods The farmers of middle age [n=632, aged from 40 to 65, male 258, female 374 and average age=(54.5±10.4)] were chosen from Changxingdian Town of Fengtai District of Beijing from Feb. 2010 to Apr. 2013. The incidence of MS was studied by applying 3 diagnostic criteria including the standard of Chinese Medical Association Diabetes Society (CDS), standard of International Diabetes Federation (IDF) and standard of National Cholesterol Education Program-Adult Treatment Panel (NCEP-ATPⅢ) revised by AHA, and compared the accordance rate. Results There were respectively 72.3%patients and 88.4%patients were coincident after diagnosed with CDS and IDF or CDS and NCEP-ATPⅢ. The accordance rate of diagnosing MS with CDS and NCEP-ATPⅢwas higher (Kappa=0.887), and the difference in prevalence was significant (P<0.01) after pairedχ2 test, and accordance rate of diagnosing MS with CDS and IDF was lower (Kappa=0.725), and the difference in prevalence was significant (P<0.01) after pairedχ2 test. Conclusion These 3 diagnostic criteria have difference in the diagnosis of MS. The accordance rate of diagnosing MS with CDS and NCEP-ATPⅢis higher and that of diagnosing MS with CDS and IDF is lower.