北京市崔各庄社区2型糖尿病人群代谢综合征的患病率及其分布特征.docVIP

· 2139 · · 调 查 研 究 · 北京市崔各庄社区2型糖尿病人群代谢综合征的患病率 及其分布特征 张 楠，吕玉洁，孙 飞，马淑贤，谷金慧，赵 晔，金凤实，马卫华，要立娜，卜祥雷，袁申元 【摘要】 目的 调查北京市崔各庄社区2型糖尿病 (T2DM) 人群代谢综合征 (MS) 的患病率及人群分布特征， 以助于社区糖尿病患者的纵向管理。方法 选择2008年6月—2009年5月本社区居民中已确诊的、资料完整的T2DM 患者 578例为本调查对象，测量身高、体质量、血压、血脂等，所得数据采用SPSS 11.5统计软件进行分析。 结果 ( 1 ) 该 T2DM 人群中MS 的患病率为69.03%。 (2) T2DM 患者中非MS 者与伴有MS 者的性别、年龄构成间比较，差异均无统计学 意义(P0.05); 体质指数 (BMI) 、 血压、血脂间比较，差异均有统计学意义 (P0.05)。 结论 崔各庄社区T2DM 人群中MS 的患病率较高，血压、 BMI 及血脂可能是MS 的影响因素，控制这些因素可能会减少MS 的发生，有利于提高 T2DM 患者的生存质量。 【关键词】 社区；糖尿病；代谢综合征；患病率 【中图分类号】 R 587.1 R197 【文献标识码】 A 【文章编号】 1007-9572(2009)12-2139-03 Mo rbidity of Metabolic Syndrome in Type 2 Diabetics and Its Distribution in Beijing Cuigezhuang Community ZHA NG Nan, LV Yu-jie, SU/N Fei, et al. Heping Hospital, Beijing 100103, China 【Abstract 】 Objective To investigate the prevalence of metabolic syndrome (MS) in patients with type 2 diabetes mellitus(T2DM) and its distribution feature in population in Beijing Cuigezhuang Community, in order to guide the management of diabetic patients. Methods Data of 578 T2DM patient with complete data in our hospital from 2008 to 2009 were collected. The levels of height, body mass index (BMI), blood pressure, and blood lipid were determined analyzed with software package SPSS 11.5. Results The prevalence of MS was 69.03%,and no significant difference was found in gender and age between patients with and without MS (P0.05). The ratios of abnormal BMI, blood pressure, and blood lipid metabolism in T2DM patients with MS were remarkably higher than those in the patients without MS (P0.05). Conclusion The prevalence of MS in T2DM patients in Beijing Cuigezhuang Community is higher. And the influencing factors may be blood pressure, BMI and blood lipid. So control of these factors may reduce the occurrence of MS and be beneficial to increase the quality of life for T2DM patients. 【Key word 】Community; Diabetes mellitus; Metabolic syndrome; Prevalence 随着我国城市化、工业化进程的日益深人，在城市和乡 村间形成