文档介绍：该【代谢综合征临床诊断和治疗 】是由【知识徜徉土豆】上传分享，文档一共【56】页，该文档可以免费在线阅读，需要了解更多关于【代谢综合征临床诊断和治疗 】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。代谢综合征临床诊断和治疗TheMetabolicSyndromeand AssociatedCVDRiskFactorsInsulinResistanceAtherosclerosisEndothelialDysfunctionHypertensionAbdominalobesityHyperinsulinaemiaDyslipidaemiahighTGssmalldenseLDLlowHDL-;105(1A);1S-;44:121~31肥胖动脉粥样硬化旳危险原因胰岛素抵抗糖尿病脂代谢紊乱高血压NCEPATPIII:TheMetabolicSyndrome<40mg/dL() <50mg/dL()Men Women>102cm(>40in) >88cm(>35in)Men Women3110mg/dL()Fastingglucose3130/385mmHgBloodpressureHDL-C3150mg/dL()TGAbdominalobesity (Waistcircumference)DefiningLevelRiskFactormendsadiagnosiswhen33oftheseriskfactorsarepresentNCEP,AdultTreatmentPanelIII,:285;2486-:TheMetabolicSyndromeAworkingdefinitionisglucoseintolerance,IGTordiabetesmellitusand/orinsulinresistancetogetherwithtwoormoreofthefollowing:Raisedarterialpressure3160/90mmHgRaisedplasmatriglycerides(,150mg/dL)and/orlowHDL-C(men<,35mg/dL;women<,39mg/dL)CentralobesityMicroalbuminuria(UAER￡20mg/minoralbumin:creatinineratio320mg/g):15;539-(空腹血糖异常):110~126mg/dlIGT(糖耐量异常):2h血140~199mg/dl糖尿病:空腹血糖>126mg/dl餐后血糖>200mg/dlRiskofMajorCHDEventAssociatedwithHighInsulinLevelsinNon-diabeticMenQ1toQ5=quintilesofareaunderthecurve(AUC)insulin(Q1=lowestquintile;Q5=highestquintile).:OverallP=.001Q5vsQ1P<.001Q1Q2Q3Q4Q5Py?r?l?;98:398–:LDLParticleSizeisRelatedtotheMetabolicSyndromep<;20:2140-:CHDMortalityIncreaseswithIncreasedImpairedGlucoseToleranceG<140mg/dLIGTG3200mg/dLNewlydiagnoseddiabetesKnowndiabetesp<=6055n=690n=158n=;17(Suppl):41--glucose