综合干预对容桂社区初诊代谢综合征的影响(1)
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[摘要] 目的：探讨综合干预对容桂社区初诊代谢综合征(MS)的影响。方法：从本地区35~74岁的常住居民中筛选出MS患者260例为调查对象，进行综合干预。结果：综合干预前后认知行为比较，综合干预后得到明显改善，与干预前比较差异有高度统计学意义(P<0.01)。MS控制指标，FPG、SBP、TC、TG、LDL-C综合干预后均有明显改善，与干预前比较差异有高度统计学意义(P<0.01)，BMI、WHR、DBP、HDL-C综合干预后均有明显改善，与干预前比较差异有统计学意义(P<0.05)。结论：综合干预，对本地区初诊MS多个危险因素有明显的效果。
[关键词] 代谢综合征；危险因素；综合干预
[中图分类号] R743.3 [文献标识码]C [文章编号]1673-7210(2011)04(b)-148-03
Influence on comprehensive interfere to metabolic syndrome by the first diagnosis in Ronggui community
LI Ge, HU Hairong, CHEN Jinghua, LIANG Yanjuan, FAN Huiqun
Guizhou Hospital of Shunde District of Foshan City, Guangdong Province, Foshan 528305, China
[Abstract] Objective: To explore the influence on comprehensive interfere to metabolic syndrome by the first diagnosis in Ronggui community. Methods: 260 local residents with metabolic syndrome who's aged between 35 to 74 in this area were choosed, all patients were given comprehensive interfere. Results: The cognitive behavioral was compared before and after comprehensive interfere. The cognitive behavioral of patients were Obviously improved after comprehensive interfere. There were significant differences in statistical analysis (P<0.01). MS control index, such as FPG, SBP, TC, TG, LDL-C were obviously improved after comprehensive interference, there were significant differences in statistical analysis (P<0.01). BMI, WHR, DBP, HDL-C were obviously improved after comprehensive interference, there were significant differences in statistical analysis (P<0.05). Conclusion: Comprehensive interfere, especially lifestyle interfere, made obviously effects on the multiple dangerous factors of MS in the local community.
[Key words] Metabolic syndrome; Dangerous factors; Comprehensive interfere
随着生活水平的提高，代谢综合征的患病率迅速增加，代谢综合征(MS)是与代谢异常相关的心血管病危险因素在个体内集结的状态。MS的中心环节是肥胖和胰岛素抵抗，其主要组成成分为肥胖症尤其是中心性肥胖、2型糖尿病或糖调节受损、血脂异常以及高血压。我院在2007~2008年对容桂社区居民35~74岁人群进行大规模MS流行病学调查的基础上，于2008年6月~2010年10月对初诊MS人群进行了为期2年的综合干预，以探讨综合干预对本地区MS的影响，从而在社区对MS防治进行有效的指导。
1 资料与方法
1.1 一般资料
在容桂社区用整群抽样方法随机抽取常住居民35~74岁人群4 083人进行MS调查，其中筛选出MS患者510例，随机选取312例患者进行综合干预 ......
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