糖尿病临床流行病学

　　医务人员代谢综合征流行病学调查及危险因素分析

　　胡蕴 张玲玲 付丽媛 毛晓明

　　【摘要】 目的 了解医务人员中MS的发病情况及其影响因素。 方法 1996名医务工作者，按年龄、工作性质分组，询问病史，测量身高、体重、WC、血压、血糖、血脂。 结果 (1)使用2004年CDS及2007年《中国成人血脂异常防治指南》修订的MS诊断标准诊断医务人员MS的患病率分别为9.17%和11.16%。(2)MS患病率随年龄增长明显升高(P<0.01)，且男性患病率高于女性(P<0.01)。(3)MS相关因素包括向心性肥胖、超重、高胆固醇血症、低高密度脂蛋白血症、高血压、高血糖、非酒精性脂肪肝，其中高血压发生率较普通人群升高。(4)MS患病率受工作性质影响。 结论 医务人员与普通人群相比MS发病率无明显差异，但MS患者中高血压的比例高于普通人群，提示紧张情绪、工作压力等精神心理因素可能在MS发病过程中起一定作用。

　　【关键词】医务人员;代谢综合征;危险因素

　　Incidence of metabolic syndrome and its risk factors in medical workers HU Yun, ZHANG Ling-ling, FU Li-yuan, et al. Nanjing The First Hospital Affiliated to Nanjing Medical University, Nanjing 210012, China

　　Corresponding author: MAO Xiao-ming, E-mail:maoxming@163.com

　　【Abstract】 Objective To identify the incidence of metabolic syndrome (MS) and its risk factors in medical workers. Methods The 1996 medical workers were recruited and divided into groups according to age and the nature of their work respectively. The height, body weight, waist circumference, and blood pressure were measured in these individuals. Meanwhile, fasting blood glucose, serum total cholesterol, triglyceride, high density lipoprotein (HDL-C) were also tested. Results (1) The incidences of MS were 9.17% (according to CDS, 2004) and 11.16% (according to Chinese guidelines on prevention and treatment of dyslipidemia in adults, 2007) respectively. (2) The incidence of MS increased along with age (P<0.01), and it was higher in male compared to that in female (P<0.01). (3) The risk factors of MS included abdominal obesity, overweight, hypercholesterolemia, low HDL-C, hyperglycemia, hypertension and non-alcoholic fatty liver. The incidence of hypertension in medical workers was higher compared to general population. (4) The incidence of MS was associated with the nature of work. Conclusions The incidence of MS in medical workers is similar with that in general population, but the occurrence of hypertension in medical workers is higher than that in general population.

　　【Key words】 Medical workers; Metabolic syndrome; Risk factors