[1]盘庆飞,黄贤,李圣海.两种代谢综合征诊断标准在高血压 人群中的比较[J].国际内分泌代谢杂志,2017,37(02):86-89.[doi:10.3760/cma.j.issn.1673-4157.2017.02.004]
　Pan Qingfei,Huang Xian,Li Shenghai..Comparison of the two diagnostic criteria of metabolic syndrome among hypertensive population[J].International Journal of Endocrinology and Metabolism,2017,37(02):86-89.[doi:10.3760/cma.j.issn.1673-4157.2017.02.004]
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两种代谢综合征诊断标准在高血压 人群中的比较()
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《国际内分泌代谢杂志》[ISSN:1673-4157/CN:12-1383/R]

卷:
37
期数:
2017年02期
页码:
86-89
栏目:
论著
出版日期:
2017-03-20

文章信息/Info

Title:
Comparison of the two diagnostic criteria of metabolic syndrome among hypertensive population
作者:
盘庆飞; 黄贤; 李圣海
518018 深圳市石岩人民医院急诊科
Author(s):
Pan Qingfei;  Huang Xian;  Li Shenghai.
Department of Emergency Medicine, Shiyan People's Hospital, Shenzhen 518108, China
关键词:
代谢综合征;  高血压;  NECP/ATP Ⅲ;  CDS
Keywords:
Metabolic syndrome;  Hypertension;  NECP/ATP Ⅲ;  CDS
DOI:
10.3760/cma.j.issn.1673-4157.2017.02.004
摘要:
目的 比较美国国家胆固醇教育计划成人组第3次报告(NECP/ATP Ⅲ)以及中华医学会糖尿病学分会(CDS)代谢综合征(MS)诊断标准在高血压人群中的应用。方法 收集7 485例高血压患者人体测量学及生化检查资料,比较分别应用NECP/ATP Ⅲ和CDS标准,MS的检出率及诊断的一致性,并分析不同性别、年龄MS检出率及代谢异常构成的分布特点。结果 NECP/ATP Ⅲ和CDS标准MS检出率分别为39.4%(n=2 949)和42.5%(n=3 181),CDS标准诊断的MS检出率较高(χ2=454.19, P<0.001)。与CDS标准相反,NECP/ATP Ⅲ标准女性MS检出率高于男性(χ2=365.58, P<0.001); 2种标准各年龄组MS检出率变化趋势相似,随着年龄增高而增高(χ2=425.51, P<0.05)。结论 与NECP/ATP Ⅲ标准相比,CDS标准在高血压人群中MS 的检出率相对较高。
Abstract:
Objective To compare the application of National CholesterolEducation Program's Adult Treatment Panel Ⅲ(NCEP/ATP Ⅲ)and Chinese Diabetes Society(CDS)diagnostic criteria of MS in hypertensive population. Methods Anthropometry and blood pressure were measured and bio-specimens were collected in 7 485 hypertensive patients. The detection rate of MS using NCEP/ATP Ⅲ criteria and CDS criteria in patients with hypertension were compared and the accordance of the two diagnostic criteria were studied. Characteristics of distribution of detection rate in different sex, age and metabolic abnormity were analyzed. Results The overall detection rate of MS was 39.4%(n=2 949)and 42.5%(n=3 181)according to NCEP/ATP Ⅲ and CDS diagnostic criteria, respectively. The detection rate of CDS criteria was higher(χ2=454.19, P<0.001). The detection rate of MS was higher in males than in females using CDS criteria but this sex difference was reversed when using the NCEP/ATP Ⅲ criteria(χ2=365.58, P<0.001). The changing trend with aging were no different between the two criteria, the prevalence increased with age(χ2=425.51, P<0.05).Conclusion Compared with the NCEP/ATP Ⅲ criteria, the detection rate of MS by the CDS criteria ishigher in hypertensive patients.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:深圳市宝安区社会公益项目(17) 通信作者:黄贤,Email: dohuangx1975@163.com
更新日期/Last Update: 2017-03-20