中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
1期
14-17
,共4页
胡宾%周玉杰%史冬梅%刘宇扬%赵迎新%贾德安%王志坚%杨士伟%方哲
鬍賓%週玉傑%史鼕梅%劉宇颺%趙迎新%賈德安%王誌堅%楊士偉%方哲
호빈%주옥걸%사동매%류우양%조영신%가덕안%왕지견%양사위%방철
冠心病%代谢综合征%患病率
冠心病%代謝綜閤徵%患病率
관심병%대사종합정%환병솔
Coronary heart disease%Metabolic syndrome%Prevalence
目的 采用三种代谢综合征(MS)定义,对中国冠心病患者MS患病率及其诊断一致性进行探讨.方法 收集2007年1月至2008年6月北京安贞医院2 356例冠心病确诊患者的病历资料,分别用国际糖尿病联盟(IDF)、中华医学会糖尿病学分会(CDS)以及修订的美国国家胆固醇教育纲要——成人治疗专家组第3次报告(ATPⅢ)的工作定义诊断MS,比较MS的患病率,并对诊断结果进行比较.结果 按修订的ATPⅢ诊断标准、CDS诊断标准和IDF诊断标准,2 356例冠心病患者的MS患病率分别为54.0%(1 273例)、46.1%(1 086例)和51.3%(1 208例),修订的ATPⅢ诊断标准总患病率高于CDS、IDF的患病率,差异有统计学意义(P<0.05).修订ATPⅢ与IDF诊断工作定义的一致率为95.60%,κ值为0.91;修订的ATPⅢ与CDS诊断工作定义的一致率为77.29%,κ值为0.55;CDS与IDF诊断工作定义的一致率为78.69%,κ值为0.57,κ值的差异均有统计学意义(P<0.05).结论 冠心病患者MS的患病率较高,IDF、修订ATPⅢ和CDS的诊断一致性较好.
目的 採用三種代謝綜閤徵(MS)定義,對中國冠心病患者MS患病率及其診斷一緻性進行探討.方法 收集2007年1月至2008年6月北京安貞醫院2 356例冠心病確診患者的病歷資料,分彆用國際糖尿病聯盟(IDF)、中華醫學會糖尿病學分會(CDS)以及脩訂的美國國傢膽固醇教育綱要——成人治療專傢組第3次報告(ATPⅢ)的工作定義診斷MS,比較MS的患病率,併對診斷結果進行比較.結果 按脩訂的ATPⅢ診斷標準、CDS診斷標準和IDF診斷標準,2 356例冠心病患者的MS患病率分彆為54.0%(1 273例)、46.1%(1 086例)和51.3%(1 208例),脩訂的ATPⅢ診斷標準總患病率高于CDS、IDF的患病率,差異有統計學意義(P<0.05).脩訂ATPⅢ與IDF診斷工作定義的一緻率為95.60%,κ值為0.91;脩訂的ATPⅢ與CDS診斷工作定義的一緻率為77.29%,κ值為0.55;CDS與IDF診斷工作定義的一緻率為78.69%,κ值為0.57,κ值的差異均有統計學意義(P<0.05).結論 冠心病患者MS的患病率較高,IDF、脩訂ATPⅢ和CDS的診斷一緻性較好.
목적 채용삼충대사종합정(MS)정의,대중국관심병환자MS환병솔급기진단일치성진행탐토.방법 수집2007년1월지2008년6월북경안정의원2 356례관심병학진환자적병력자료,분별용국제당뇨병련맹(IDF)、중화의학회당뇨병학분회(CDS)이급수정적미국국가담고순교육강요——성인치료전가조제3차보고(ATPⅢ)적공작정의진단MS,비교MS적환병솔,병대진단결과진행비교.결과 안수정적ATPⅢ진단표준、CDS진단표준화IDF진단표준,2 356례관심병환자적MS환병솔분별위54.0%(1 273례)、46.1%(1 086례)화51.3%(1 208례),수정적ATPⅢ진단표준총환병솔고우CDS、IDF적환병솔,차이유통계학의의(P<0.05).수정ATPⅢ여IDF진단공작정의적일치솔위95.60%,κ치위0.91;수정적ATPⅢ여CDS진단공작정의적일치솔위77.29%,κ치위0.55;CDS여IDF진단공작정의적일치솔위78.69%,κ치위0.57,κ치적차이균유통계학의의(P<0.05).결론 관심병환자MS적환병솔교고,IDF、수정ATPⅢ화CDS적진단일치성교호.
Objective To assess the prevalence and the agreement of three different diagnostic criteria of metabolic syndrome (MS) in patients with coronary heart disease(CHD) according to the third report of the national cholesterol educational program expert panel(NCEP-ATP) Ⅲ,Chinese diabetes society(CDS) and international diabetes federation(IDF).Methods Between January 2007 and June 2008,2 356 patients with CHD at Anzhen hospital were evaluated with different definitions of NCEP-ATP Ⅲ,CDS and IDF.The prevalence of MS was calculated by the three criteria and kappa statistics was used to compare the agreement of the three criteria.Results The prevalence rates of MS were 54.0% (1 273/2 356),46.1% (1 086/2 356)and 51.3% (1 208/2 356) based on NCEP-ATP Ⅲ,CDS and IDF diagnostic criteria,respectively.The agreement rates between NCEP-ATP Ⅲ and IDF,NCEP-ATP Ⅲ and CDS,IDF and CDS were 95.60%,77.29% and 78.69%,respectively,and the kappa indices were 0.91,0.55 and 0.57,respectively.Conclusions The prevalence of MS is high in patients with CHD.The diagnostic agreement rates of MS by the three criteria are high.