【摘要】 目的 了解邢台地区部分围绝经期女性代谢综合征(MS)的患病情况并探讨其影响因素。方法 选取2019年4～12月于邢台市人民医院健康体检中心进行体检的875例40～60岁围绝经期女性为研究对象，对其进行问卷调查、体格检查和实验室检查，收集调查对象的基本情况、个人健康情况及身高、体重、腰围、臀围、血压、空腹血糖、血脂等指标，围绝经期女性MS筛查采用2005年亚太地区改良版NCEP-ATPⅢ诊断标准。结果 围绝经期女性的MS患病率为37.4%。调查对象在文化程度、年龄、工作性质、是否绝经方面MS患病率不同，差异均有统计学意义(P<0.05)。绝经女性的总胆固醇、三酰甘油、低密度脂蛋白胆固醇、血糖、收缩压、舒张压、腰围、臀围水平均高于未绝经女性，且差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示年龄、工作性质是围绝经期女性MS患病的影响因素，年龄越大，MS患病率越高。结论 围绝经期女性MS患病较高，应对邢台地区围绝经期女性进行健康宣教，帮助围绝经期女性建立良好的生活方式，定期体检，提高生活质量，降低MS患病风险。更多还原

【Abstract】 Objective To investigate the current situation of metabolic syndrome(MS) in part women at perimenopausal period in Xingtai area and its influencing factors.Methods A total of 875 perimenopausal women aged 40 to 60 who underwent physical examination in our hospital from April to December 2019 were enrolled in the study.The questionnaires, physical examinations and laboratory examinations were performed to collect the basic data, health history of the subjects and related indexes including height, weight, waist circumference, blood pressure, fasting blood glucose, total cholesterol, triglycerides, high-density lipoprotein cholesterol, blood lipid, and the MS screening was conducted according to NCEP-ATPⅢ diagnosis standard(2005 edition) in Asia-Pacific region.Results The prevalence rate of MS of perimenopausal women was 37.4%.there were significant differences in education level, age, job nature, menopause status in perimenopausal women(P<0.05),and the levels of total cholesterol, triglyceride, low density lipoprotein cholesterol, blood glucose, systolic blood pressure, diastolic blood pressure, waist circumference and hip circumference in menopausal women were significantly higher than those in non-menopausal women.The multivariate logistic regression analysis showed that age and job nature were risk factors for MS prevalence in perimenopausal women.the higher the age, the higher the prevalence of MS.Conclusion The prevalence of MS in perimenopausal women is higher, therefore, it is necessary to perform health education and regular physical examination, so as to improve the life quality and reduce the risk of occurrence of MS.更多还原