风湿性疾病或痛风患者代谢综合征的发病率及关键危险因素比较
Comparisons of the Incidence and Critical Risk Factors of Metabolic Syndrome in Patients With a Rheumatic Disease or Gout.
作者信息
Oh HyunSoo, Park JiSuk, Yoon YoungSub, Seo WhaSook
机构信息
HyunSoo Oh, PhD, RN, Professor, Department of Nursing, Inha University, Incheon, Republic of Korea. JiSuk Park, PhD, RN, Head Nurse, Inha University Hospital, Incheon, Republic of Korea. YoungSub Yoon, MSN, RN, Instructor, Department of Nursing, Inha University, Incheon, Republic of Korea. WhaSook Seo, PhD, RN, Professor, Department of Nursing, Inha University, Incheon, Republic of Korea.
出版信息
Orthop Nurs. 2019 May/Jun;38(3):201-208. doi: 10.1097/NOR.0000000000000557.
BACKGROUND
Rheumatic disease and gout are particularly known to be associated with metabolic syndrome.
PURPOSE
To compare incidence, physiological indices, and risk factors of metabolic syndrome in patients with rheumatic diseases or gout.
METHODS
Data were collected from medical records of 220 patients with rheumatic disease or gout.
RESULTS
The incidence rate and most physiological indices of metabolic syndrome (body mass index, blood pressure, serum triglyceride, and fasting blood glucose levels) were significantly higher in the gout group than in the rheumatic disease group. In terms of risk factors of metabolic syndrome, age, gender, and steroid use were significant in the rheumatic disease group, whereas smoking and gout duration were significant in the gout group.
CONCLUSIONS
Men with a rheumatic disease taking steroids warrant additional attention regarding metabolic syndrome development. Special supports are also needed for people with gout who are smokers and who have suffered from gout for a longer duration.
背景
众所周知，风湿性疾病和痛风与代谢综合征有关。
目的
比较风湿性疾病或痛风患者代谢综合征的发病率、生理指标和危险因素。
方法
收集220例风湿性疾病或痛风患者的病历资料。
结果
痛风组代谢综合征的发病率及大多数生理指标（体重指数、血压、血清甘油三酯和空腹血糖水平）显著高于风湿性疾病组。在代谢综合征的危险因素方面，年龄、性别和使用类固醇在风湿性疾病组有显著意义，而吸烟和痛风病程在痛风组有显著意义。
结论
患有风湿性疾病且正在服用类固醇的男性在代谢综合征发展方面需要格外关注。对于吸烟且痛风病程较长的痛风患者也需要特别支持。
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