CAJ | 학술논문

目的：了解江苏泰兴地区已自然绝经的女性代谢综合征的患病情况，为制定有效措施预防和干预代谢综合征的发生及发展提供基础数据。方法整群抽取泰兴地区45~64岁已自然绝经的女性对象，进行问卷调查、人体体质测量和生化检测，采用国际糖尿病联盟(IDF)(2005)的代谢综合征诊断标准进行分析。结果江苏泰兴地区的自然绝经女性代谢综合征粗患病率为35.25%，标化患病率为31.47%；代谢综合征患病率随着年龄的增高有升高的趋势(P<0.01)；代谢综合征患病人群中，合并三、四、五项代谢组分异常的构成比分别为21.45%、10.73%、3.07% 。结论绝经后女性代谢综合征的患病率较高，且随着年龄的增长而增高，应加强宣传教育，及早采取预防和干预措施，提高绝经后女性的生活质量。
목적：료해강소태흥지구이자연절경적녀성대사종합정적환병정황，위제정유효조시예방화간예대사종합정적발생급발전제공기출수거。방법정군추취태흥지구45~64세이자연절경적녀성대상，진행문권조사、인체체질측량화생화검측，채용국제당뇨병련맹(IDF)(2005)적대사종합정진단표준진행분석。결과강소태흥지구적자연절경녀성대사종합정조환병솔위35.25%，표화환병솔위31.47%；대사종합정환병솔수착년령적증고유승고적추세(P<0.01)；대사종합정환병인군중，합병삼、사、오항대사조분이상적구성비분별위21.45%、10.73%、3.07% 。결론절경후녀성대사종합정적환병솔교고，차수착년령적증장이증고，응가강선전교육，급조채취예방화간예조시，제고절경후녀성적생활질량。
Objective To determine the prevalence of metabolic syndrome ( MS) in women who had gone through natural menopause, and to provide basic data for developing effective prevention and intervention of metabolic syndrome in Taixing area Jiangsu province. Methods A cluster sample of natural postmenopausal women aged 45 to 64 years were sampled and assessed by questionnaires, physical measurements, and biochemical tests; and analyzed according to the International Diabetes Federation ( IDF, 2005) diagnostic criteria for MS. Results The crude prevalence of metabolic syndrome was 35. 25% and the standardized prevalence rate was 31. 47% after age being adjusted. The prevalence of metabolic syndrome was increased with age ( P < 0. 01). The constituent ratio of the combinations of 3, 4, and 5 components in MS was 21. 45% , 10. 73% , and 3. 07% , respectively. Conclusion The prevalence of the metabolic syndrome among older women after menopause is high and increasing with aging. Public education should be strengthened to improve the quality of life in postmenopausal women and prevention and intervention should be adopted earlier as well.