CAJ | 학술논문

目的调查健康体检人群中代谢综合征(MS)及其各组分数量对踝臂指数(ABI)的影响,为MS并发心血管疾病的健康管理提供科学依据.方法对2007—2009年在我院进行体检的公职人员7819例个体进行随机抽样,采用中华医学会糖尿病学分会关于中国人MS的建议诊断MS,对样本进行了MS组分数量分级.结果①比较非MS组与MS组的ABI指标,MS组患者ABI值降低,分别为1.11±0.07和1.09±0.12,<0.05;PAD患病率增加,分别为0和7.0%,差异有统计学意义(<0.05).②MS组分别与M0、M1、M2比较,随MS组分数目的增加,ABI值逐渐下降,PAD患病率逐渐上升,差异有统计学意义(<0.05).③按性别分组后对MS各组分与ABI相关性研究,结果发现血脂异常、高血压、高血糖组分的PAD患病率较高,女性各MS组分PAD患病率均高于男性.结论北京市健康体检人群中MS及其组分对ABI存在影响,ABI随MS组分的增加而降低,且MS患者的PAD发病率高于非MS,血脂异常、高血压、高血糖均对PAD存在影响.
목적조사건강체검인군중대사종합정(MS)급기각조분수량대과비지수(ABI)적영향,위MS병발심혈관질병적건강관리제공과학의거.방법대2007—2009년재아원진행체검적공직인원7819례개체진행수궤추양,채용중화의학회당뇨병학분회관우중국인MS적건의진단MS,대양본진행료MS조분수량분급.결과①비교비MS조여MS조적ABI지표,MS조환자ABI치강저,분별위1.11±0.07화1.09±0.12,<0.05;PAD환병솔증가,분별위0화7.0%,차이유통계학의의(<0.05).②MS조분별여M0、M1、M2비교,수MS조분수목적증가,ABI치축점하강,PAD환병솔축점상승,차이유통계학의의(<0.05).③안성별분조후대MS각조분여ABI상관성연구,결과발현혈지이상、고혈압、고혈당조분적PAD환병솔교고,녀성각MS조분PAD환병솔균고우남성.결론북경시건강체검인군중MS급기조분대ABI존재영향,ABI수MS조분적증가이강저,차MS환자적PAD발병솔고우비MS,혈지이상、고혈압、고혈당균대PAD존재영향.
Objective To investigate the influence of metabolic syndrome(MS) and its components on ankle brachial index so as to pro-vide scientific proof for health management of the sufferers of MS complicated by cardiovascular disease.Methods Random sampling was conducted among the 7 819 public servants who had physical check at our sanatorium from 2007 to 2009 and MS was diagnosed according to China diabetology Branch suggestions.The samples with MS were graded on the basis of components.Results ① ABI was compared be-tween MS group and non-MS group and it was low in MS group which were respectively1.11 ± 0.07 and 1.09 ± 0.12, < 0.05.PAD morbidity rate increased with 0 and 7.0% ,and the difference was of statistical significance ( < 0.05). ② Comparison was made between MS and M0,M1,M2,and it was found that with the increasing components,ABI gradually declined,PAD morbidity rate gradually in-creased,and the difference was of statistical significance( < 0.05).③ Correlational study on components of MS and ABI in different gen-der group showed PAD morbidity rate was high in the group with dyslipidemia,hypertension and hyperglycemia.PAD morbidity rate of the MS components in the female group was higher that in the male group.Conclusion Metabolic syndrome and its components of Beijing physical check people have influence on ABI.ABI reduces with the increase of MS components PAD morbidity rate in the MS group is higher than that in the non-MS group. Dyslipidemia,hypertension and hyperglycemia all have influence on PAD.