飞行人员代谢综合征颈动脉内中膜厚度的研究

摘要：目的研究军事飞行人员代谢综合征（metabolicsyndrome，MS）的患病率及飞行人员MS与颈动脉内中膜厚度（carotidarteryintima—mediathickness，CAIMT）的关系。方法对1032名平均年龄23～51（33．32±8．47）岁的现役军事飞行人员依照国际糖尿病联盟（InternationalDiabetesFederation，IDF）的标准进行MS的评估，粗算患病率；并从中随机选取MS组32人，非MS组32人，进行CAIMT的研究。结果粗算现役军事飞行人员MS患病率为4．84％；关于CAIMT的研究，MS组CAIMT值明显高于非MS组俨〈0．05），CAIMT≥0．9mm组与CAIMT〈0．9mm组在年龄、体重指数、腰围、血压、空腹血糖上差异有统计学意义（P〈0．05），Logistic回归分析结果显示腰围与CAIMT增厚之间有相关性（P〈0．05）。结论现役军事飞行人员MS患病率粗算为4．84％；MS与CAIMT关系密切，腰围为本研究人群CAIMT增厚的独立危险因素。

Correlation between carotid artery intima-media thickness and metabolic syndrome in pilots

Objective To study the correlation between metabolic syndrome（MS） and carotid artery intima-media thickness（CAIMT） in pilots. Methods MS in 1 032 pilots on active service at the age of 23-51 years （mean 33.32 ＋ 8.47 years） was assessed according to the International Diabetes Federation （IDF） criteria with its incidence estimated. Sixty-four pilots, randomly selected from the 1 032 pilots, were divided into MS group （n=32） and non-MS group （n=32）. Their CAIMT was measured. Results The incidence of MS was 4.84% in pilots. The CAIMT was significantly higher in MS group than in non-MS group（P 〈 0.05）. The age, BMI, waist circumference（WC）, blood pressure（BP）, and serum fasting glucose level were significantly different between those with their CAIMT I〉 0.9 mm and those with their CAIMT 〈 0.9 mm （P 〈 0.05）. Logistic regression analysis showed that the WC was closely related with the CAIMT （P 〈 0.05）. Conclusion The incidence of MS in pilots on active service is 4.84%. The MS is closely related with the CAIMT. WC is an independent risk factor for CAIMT in pilots.