肺动脉闭锁姑息手术后住院并发症发生的危险因素分析
Prevalence and relationship between hypertriglyceridemia-waist and type 2 diabetes mellitus among middle-aged and elderly residents in rural area

目的:分析农村中老年人群高甘油三酯腰围(HTGW)、2型糖尿病(T2DM)的流行现状及两者间的关联。方法:采用整群抽样的方法于2013年和2014年的7～8月对河南某农村地区45～75岁的中老年人群进行横断面调查,收集其人口统计学特征、行为危险因素、人体测量指标和空腹血标本,并进行血糖和脂质谱的检测。结果:共纳入10 218名研究对象,其中男性3 836人(37.54%),中位年龄56.62岁。HTGW共2 845人(27.84%),男性646人(16.84%),女性2 199人(34.46%)。T2DM共1 406人(13.76%),男性469人(12.23%),女性937人(14.68%)。在调整了年龄、血压、吸烟、饮酒、家族史、体力活动、体重指数(BMI)、高密度脂蛋白后,logistic回归分析结果显示与腰围和甘油三酯水平均正常的人群相比,HTGW可增加T2DM的发病风险,其OR(95%CI)为3.810(3.050～4.760)。以性别和BMI为分层变量分析发现,HTGW与T2DM的关联女性高于男性、18.5≤BMI＜24.0 kg/m2人群高于24.0≤BMI＜28.0 kg/m2人群。结论:该农村地区中老年人群HTGW和T2DM的患病率较高,HTGW是T2DM稳定的危险因素。
Aim: To assess the prevalence and relationship between hypertriglyceridemia-waist(HTGW)and type 2 diabetes mellitus(T2DM)among middle-aged and elderly residents in the rural area of Henan Province.Methods: A population-based cross-sectional study was conducted in middle-aged and elderly residents aged 45 to 75 years in a rural area of Henan Province from July to August of 2013 and 2014. Demographic characteristics, behavioral risk factors and biochemical indexes were collected in this study.Results: Among the 10 218 subjects, 3 836(37.54%)were males, and the median age was 56.62 years. There were 2 845 cases(27.84%)of HTGW(male 16.84%, female 34.46%)and 1 406 cases(13.76%)of T2DM(male 12.23%, female 14.68%). After adjusting age,blood pressure,smoking,drinking alcohol,family history,manual labor,BMI and high density lipoprotein,the results of logistic regression analysis showed that, HTGW was the risk factor of T2DM [OR(95%CI)=3.810(3.050-4.760)]. Stratification analysis according to gender and BMI showed that the association was stronger in females than in males, in 18.5≤BMI＜24.0 kg/m2 residents than in 24.0≤BMI＜28.0 kg/m2 residents.Conclusion: Among the rural middle-aged and elderly residents, the prevalences of HTGW and T2DM are relatively high, and HTGW is stably and significantly associated with risk of T2DM