摘要
目的:评价、分析国际糖尿病联盟(IDF)和中华医学会糖尿病学会(CDS)的代谢综合征(MS)诊断标准的一致性。方法:对体检科年龄≥40岁的中老年人1130例及多种体检资料进行分析,按IDF和CDS标准分别计算MS患病情况。结果:①2种MS诊断标准的符合率为72.39%,将CDS标准中的空腹血糖调整至≥5.6mmol/L后,2者符合率增至78.32%。②体质量指数≥25kg/m2与男性腰围≥90cm(女性腰围≥80cm)时符合率较好,女性符合率高达91.03%。③IDF与CDS诊断MS者心肌梗死和(或)脑卒中患病率分别为20.34%和21.26%,均高于无MS者的患病率(14.52%和15.13%)。④CDS诊断MS者中有39例并不存在肥胖或中心性肥胖,这些患者可能并不属于典型的代谢综合征。结论:CDSMS诊断标准与IDF标准的一致性较好,2个标准都可用于中国人群。
Aim ： To compare the diagnostic criteria of metabolic syndrome （MS） from international diabetes federation （IDF） and Chinese medical association diabetes branch （CDS）. Methods： 1320 people, aged 1〉40 years, 543 males and 587 females, underwent physical examination, laboratory tests, questionnaire survey so as to screen the MS patients by IDF and CDS diagnostic criteria. The accordance of the two criterias was analyzed. Results： The accordance rate of the two MS diagnostic criterias was 72.39%. If the criterion for fasting blood glucose of CDS criteria was adjusted to 5.6 mmol/L, the accordance was increased to 78.32%. According to IDF criteria, the morbidity of myocardial infarction （MI） and （or） cerebral stroke in those with MS was 20.34% , significantly higher than in those without MS （ 14.52% , P =0.003）. According to CDS criteria, the morbidity of MI and （or） cerebral stroke in those with MS was 21.26% , significantly higher than that in those without MS （ 15.13% ,P = 0. 007 ）. There was no significant diference in the morbidity of MI and （or） cerebral stroke between the IDF criteria and CDS criteria （ P =0. 874）. Conclusion ： The MS diagnostic criterias of IDF and CDS are in good accordance.
出处
《郑州大学学报（医学版）》
CAS
北大核心
2007年第2期337-339,共3页
Journal of Zhengzhou University(Medical Sciences)
关键词
代谢综合征
肥胖
糖尿病
诊断标准
metabolic syndrome
obesity
diabetes mellitus
diagnosis
