CAJ | 학술논문

目的：利用4种代谢综合征(MS)诊断标准对河北省任丘市60~70岁人群进行诊断,并分析比较4种诊断标准 MS 检出率及一致性情况。方法随机整群抽样法以任丘市年龄60~70岁的常住居民5010例为调查者,进行面对面健康问卷调查、人体测量、实验室检测,分别用中华医学会糖尿病学分会(CDS)标准、中国成人血脂异常防治指南制订联合会(JCDCG)标准、2005年美国国家胆固醇教育计划成人治疗方案第三次报告(ATPⅢ)标准、国际糖尿病联盟(IDF)标准对5010名研究对象进行 MS 诊断,分析比较4种诊断标准下 MS 及其组分检出率情况,并使用 k 值比较诊断结果的一致性。结果 ATPⅢ标准 MS 检出率最高,为53.37%(2674/5010),CDS 标准最低,为29.36%(1471/5010),JCDCG 标准 MS 检出率为32.99%(1653/5010),IDF 标准 MS 检出率为48.06%(2408/5010),4种诊断标准 MS 检出率差异有统计学意义(P <0.01)；ATPⅢ标准与 IDF 标准一致性最高,一致率为94.69%,Kappa 值均为0.89。结论河北任丘老年人群 MS 患病率高,且不同诊断标准下存在较大差异,以 ATPⅢ标准筛检 MS 及其异常组分效果最佳。
목적：이용4충대사종합정(MS)진단표준대하북성임구시60~70세인군진행진단,병분석비교4충진단표준 MS 검출솔급일치성정황。방법수궤정군추양법이임구시년령60~70세적상주거민5010례위조사자,진행면대면건강문권조사、인체측량、실험실검측,분별용중화의학회당뇨병학분회(CDS)표준、중국성인혈지이상방치지남제정연합회(JCDCG)표준、2005년미국국가담고순교육계화성인치료방안제삼차보고(ATPⅢ)표준、국제당뇨병련맹(IDF)표준대5010명연구대상진행 MS 진단,분석비교4충진단표준하 MS 급기조분검출솔정황,병사용 k 치비교진단결과적일치성。결과 ATPⅢ표준 MS 검출솔최고,위53.37%(2674/5010),CDS 표준최저,위29.36%(1471/5010),JCDCG 표준 MS 검출솔위32.99%(1653/5010),IDF 표준 MS 검출솔위48.06%(2408/5010),4충진단표준 MS 검출솔차이유통계학의의(P <0.01)；ATPⅢ표준여 IDF 표준일치성최고,일치솔위94.69%,Kappa 치균위0.89。결론하북임구노년인군 MS 환병솔고,차불동진단표준하존재교대차이,이 ATPⅢ표준사검 MS 급기이상조분효과최가。
ABSTRACT:Objective By using four kinds diagnostic criteria of metabolic syndrome (MS)in the age 60 to 70 years population of Hebei Renqiu,analysis and comparison were made for MS detection rate and consistency.Methods A cluster random sampling method was used for the age of 60 to 70 years Renqiu permanent residents as a screening object,including 5 010 people.Face to face health questionnaires,anthropometric measurements and laboratory test were adopted.MS was diagnosed and compared according to four diagnostic criteria:Chinese Medical Association Diabetic Society(CDS),Joint Committee for Developing Chinese Guidelines(JCDCG),American National Cholesterol Education Program Adult Treatment Pane Ⅲ in 2005 (ATPⅢ)and International Diabetes Federation (IDF),analysis and comparison were performed in the detection rate of four kinds of MS under the diagnostic criteria.The four MS diagnostic concordance were compared by the value of Kappa.Results MS detection rate ranged the highest according to ATPⅢ,53.37% (2 674/5 010 ),CDS standard was the minimum,29.36% (1 471/5 010 ),MS positive rate by JCDCG was 32.99% (1 653/5 010),MS positive rate by IDF was 48.06%(2 408/5 010),the four kinds of diagnostic criteria for MS detection rate had significant difference (P < 0.01 );ATP Ⅲ standard and IDF standard showed the highest consistency in MS detection rate,94.69%,Kappa value was 0.89.Conclusion The prevalence of MS is high in Renqiu elderly population of Hebei,there are significant difference under different diagnostic criteria.The MS screen and abnormal components prove the best by ATPⅢ standard.