| 王声湧.伤害及其定义的内涵和外延[J].Chinese journal of Epidemiology,2010,31(10):1081-1082 |
| 伤害及其定义的内涵和外延 |
| Intension and extension and definition of injury |
| Received:August 15, 2010 Revised:June 06, 2012 |
| DOI：10.3760/cmaj.issn.0254-6450.2010.10.001 |
| KeyWord: 伤害 内涵 外延 |
| English Key Word: Injury Intension Extension |
| FundProject:国家自然科学基金重点资助项目（30630061） |
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| Abstract: |
| 2003年我国卫生部把伤害纳入疾病预防控制的内容，明确该项工作包括传染性疾病、慢性非传染性疾病和伤害三部分。那么，伤害的定义是什么?伤害到底包括哪些内容?其预防控制工作的对象又是什么?只有搞清楚这个问题，才能够知晓伤害预防与控制的目标和预防医学在伤害控制工作中的定位。因此，有必要明确伤害定义的内涵和外延。 |
| English Abstract: |
| Objective To investigate the prevalence of metabolic syndrome (MS) and its components in type 2 diabetes meUitus pedigrees. Methods A total number of 4468 subjects (including spouses) from 715 type 2 diabetic pedigrees were selected in this study. Complete laboratory data including blood pressure, lipid profile and plasma glucose, were collected. All subjects who were not defined as diabetic were valued by oral glucose tolerance test. MS was diagnosed according to the definition proposed by the China Diabetes Society (CDS) in 2004. Results (1)The prevalence of MS was 23.86% in diabetic pedigrees, and subsequently increased in second-degree relatives, spouses, first-degree relatives and probands. (2)The prevalence rates of 'at least' 1 metabolic abnormality in first-degree relatives, second-degrcc relatives and spouses were 80.10 %, 59.76 % and 70.30 %, respectively. (3) Ratios on non-metabolic abnormality, 1-2 metabolic abnormality and MS were 19.90%, 55.02% and 25.08% in first-degree relatives, 40.24%, 50.82% and 8.94% in second-degree relatives, 29.70%, 53.31% and 16.99% in spouses, respectively. (4) Among the first-degree relatives, the common manifestation of metabolic abnormality was dyslipidemia for subjects aged below 40 years, and hyperglycemia for subjects aged over 40 years of age. (5)The prevalence of MS in first-degree relatives was higher in males than infemales for subjects aged below 60 and it was higher in females than in males for subjects aged over 60.Conclusion There was significant familial aggregation of MS found in our study. The first-degree relatives of type 2 diabetic patients were high risk populations, suggesting that early recognition and prevention were important issues to be carried out. |
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