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高龄老人代谢综合征的发病率及危险因素分析

     

摘要

Objective: To study incidence rate and risk factors of metabolic syndrome (MS) in the oldest old. Methods: A total of 229 patients admitted in our home for the aged in May 2010 were divided into oldest old group (n = 126, ≥80 years old) and non-oldest old group (n= 103, 60~79 years old). Measurements were performed on blood glucose, blood lipids, blood uric acid, height, weight, waist circumference and hip circumference, and general clinical data were recorded in all patients. Results: Compared with non-oldest old group, there were significant increase in incidence rates of diabetes mellitus (18.4% vs. 36.5%), hypertension (28.2% vs. 54.0%), hyperlipidemia (33. 0% vs. 57.1%) and obesity (27.2% vs. 46.8%) in oldest old group, P<0. 01 alls incidence rate of MS in oldest old group was significantly higher than that of non-oldest old group (34.9% vs. 17. 5%, P = 0. 0031). Conclusion: Incidence rate of metabolic syndrome in oldest old is higher than that of non-oldest old.%目的:探讨高龄老人代谢综合征(MS)患者的发病率及危险因素分析.方法:于2010年5月对在我院养老的229例患者,分为高龄组(≥80岁,126例)和非高龄组(60~79岁,103例),测定其血糖、血脂、血压、血尿酸、身高、体重、腰围和臀围,记录其一般临床资料.结果:与非高龄组比较,高龄组糖尿病(18.4%比36.5%)、高血压(28.2%比54.0%)、高血脂症(33.0%比57.1%)、肥胖(27.2%比46.8%)发生率均明显升高(P均<0.01);高龄组MS发生率明显高于非高龄组(34.9%比17.5%,P=0.0031).结论:高龄老人代谢综合征发生率较非高龄老人高.

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