山东省五莲县居民代谢综合征与胰岛素抵抗关系的调查

目的 调查山东省五莲县20岁以上人群代谢综合征（MS）及慢性代谢性疾病的患病状况及其伴发胰岛素抵抗（IR）情况。方法 采用现况调查方法，通过多阶段分层随机抽样方法，抽取3个乡镇（街道）共2127名20岁以上居民进行问卷调查、体格检查及生化指标检测。结果 五莲县20岁以上居民慢性代谢性疾病患病率为64．36％，其中超重／肥胖、糖尿病、高血压和血脂异常的患病率分别为36．34％，3．24％，38．98％和31．26％，具有3种上述疾病特征的MS患病率为7．9%。IR在MS及慢性代谢性疾病的伴发频率分别为超重／肥胖43．34％，糖尿病78．26％，高血压29．79％，血脂异常33．23％及MS64．28％。结论 五莲县20岁以上人群中近2／3者患有慢性代谢性疾病，IR在MS及慢性代谢性疾病中普遍存在，尤以糖尿病及MS为甚。

Survey on the Relation between Metabolic Syndrome and Insulin Resistance of Dwellers in Wulian County,Shandong

Objective To investigate the status of metabolic syndrome(MS),chronic metabolic disease and insulin resistance(IR) in dwellers over twenty years old in Wulian County,Shandong province.Method 2 127 dwellers over twenty years old were investigated in three towns with multistage stratified sampling and cross sectional methods.Questionnaire was delivered to all the subjects,while physical examination and biochemical test were carried out.Result The prevalent rate of chronic metabolic diseases in dwellers over twenty years old in Wulian County was 64.34%.The prevalent rate of overweight/obesity,diabetes,hypertension and hyperlipemia were 36.24%,3.24%,38.98% and 31.26,respectively.The prevalence of MS having more than three above diseases was 7.9%.The prevalent rate of IR in obesity,diabetes,hypertension,dyslipidemia and MS patients were 43.34%,78.26%,29.79%,33.23% and 64.28%,respectively.Conclusion Near two-thirds of the dwellers over twenty years old in Wulian suffered chronic metabolic disease.IR was common in MS and chronic metabolic disease,especially in diabetes and MS.