您的位置: 首页 > 2022年9月 第52卷 第5期 > 文字全文
2023年7月 第38卷 第7期11
目录

天津市三级综合医院疫情期间医护人员代谢综合征与高同型半胱氨酸血症的关系及靶器官损害的研究

Study on the relationship of metabolic syndrome and hyperhomocysteinemia and target organ damage among medical staff in a Tianjin third-class general hospital during the pandemic period

来源期刊: 广州医药 | 11-16 发布时间:2022-10-11 收稿时间:2025/11/13 18:16:51 阅读量:19
作者:
关键词:
代谢综合征高同型半胱氨酸血症患病率靶器官损害
metabolic syndromehyperhomocysteinemiaprevalencetarget organ damage
DOI:
10.3969/j.issn.1000-8535.2022.05.002
收稿时间:
2022-01-07 
修订日期:
 
接收日期:
 
引用总数:
1  
目的 了解疫情期间医护人员代谢综合征(MS)、高同型半胱氨酸血症(HHcy)的患病率、二者关系及靶器官损害。方法 选取2020年1月—2021年11月在天津市某三级综合医院的1 544名医护人员作为研究对象。测量人体指标,测定血液生化、免疫等指标。分析MS及其组分的患病率、HHcy的患病率及靶器官损害。采用χ2检验,比较MS组、HHcy组与对照组靶器官损害的差异。采用Logistic回归模型分析MS与HHcy的关系。结果 三级综合医院医护人员疫情期间MS患病率为23.7%,MS组分:中心性肥胖、高血压/高血压病、高甘油三酯、低高密度脂蛋白和高空腹葡萄糖/糖尿病的患病率分别为49.4%、19.3%、24.3%、0.5%和37%。HHcy的患病率为29.7%。MS组、HHcy组与对照组靶器官损害程度差异有统计学意义(P<0.001)。HHcy与MS无直接相关性。结论 疫情期间医护人员MS和HHcy患病率较高,与对照组相比有明显的靶器官损害,HHcy不是MS的独立危险因素。
Objective To explore the prevalence of metabolic syndrome (MS) and hyperhomocysteinemia (HHcy), their relationship and target organ damage among medical staff during the pandemic. Methods A total of 1 544 medical staff in a third-class general hospital in Tianjin from January 2020 to November 2021 were selected as the object of study. The indexes of human body were measured, and the indexes of blood biochemistry and immunity were detected. The prevalence of MS and its components, the prevalence of HHcy and target organ damage were analyzed. χ2 test was used to analyze the difference of target organ damage among MS group, HHcy group and control group. The relationship between HHcy and MS was analyzed by Logistic regression model. Results The prevalence of MS among medical staff in the third-class general hospital during the pandemic was 23.7%. The prevalence of central obesity, hypertension / hypertension disease, high triglyceride, low high density lipoprotein cholesterol and high fasting plasma glucose/diabetes were 49.4%, 19.3%, 24.3%, 0.5% and 37%, respectively. The prevalence of HHcy was 29.7%. There was significant difference in target organ damage among MS group, HHcy group and control group (P<0.001). There was no direct correlation between HHcy and MS. Conclusions During the pandemic period, the prevalence of MS and HHcy in medical staff were high, and there was obvious target organ damage in those staff compared with the control staff. HHcy is not an independent risk factor of MS.
1、 PIAZZOLLA G,CANDIGLIOTA M,FANELLI M, et al. Hyperhomocysteinemia is an independent risk facor of atherosclerosis in patients with metabolic syndrome[J]. Diabetol Metab Syndr, 2019(11):87. PIAZZOLLA G,CANDIGLIOTA M,FANELLI M, et al. Hyperhomocysteinemia is an independent risk facor of atherosclerosis in patients with metabolic syndrome[J]. Diabetol Metab Syndr, 2019(11):87.
2、 TESSARI P, CECCHET D, VETTORE M, et al. Decreased homocysteine trans-sulfuration in hypertension with hyperhomocysteinemia: relationship with insulin resistance[J]. J Clin Endocrinol Metab, 2018, 103 (1): 56-63. TESSARI P, CECCHET D, VETTORE M, et al. Decreased homocysteine trans-sulfuration in hypertension with hyperhomocysteinemia: relationship with insulin resistance[J]. J Clin Endocrinol Metab, 2018, 103 (1): 56-63.
3、 DAI H J, WANG W J, TANG X H, et al. Association between homocysteine and non-alcoholic fatty liver disease in Chinese adults: a cross-sectional study[J]. Nutr J, 2016, 15 (1): 102. DAI H J, WANG W J, TANG X H, et al. Association between homocysteine and non-alcoholic fatty liver disease in Chinese adults: a cross-sectional study[J]. Nutr J, 2016, 15 (1): 102.
4、 DAI Y, ZHU J, MENG D, et al. Association of homocysteine level with biopsy-proven non-alcoholic fatty liver disease: a meta-analysis[J]. J Clin Biochem Nutr, 2016(58): 76-83. DAI Y, ZHU J, MENG D, et al. Association of homocysteine level with biopsy-proven non-alcoholic fatty liver disease: a meta-analysis[J]. J Clin Biochem Nutr, 2016(58): 76-83.
5、 YANG B, FAN S, ZHI X, et al. Prevalence of hyperhomocysteinemia in China: a systematic review and meta-analysis[J]. Nutrients, 2014, 7 (1): 74-90. YANG B, FAN S, ZHI X, et al. Prevalence of hyperhomocysteinemia in China: a systematic review and meta-analysis[J]. Nutrients, 2014, 7 (1): 74-90.
6、 D'ETTORRE G, PELLICANI V, GRECOM, et al. Metabolic syndrome in shift health care workers[J]. Med Lav, 2019, 110 (4): 285-292. D'ETTORRE G, PELLICANI V, GRECOM, et al. Metabolic syndrome in shift health care workers[J]. Med Lav, 2019, 110 (4): 285-292.
7、 MITCHEELL A J, VANVAMPFORT D, SWEERS K, et al. Pervalence of metabolic syndrome and metabolic abnormalities in schizophrenia and related disorders-a systematic review and meta-analysis[J]. Schizophrenia Bulletin, 2013, 39(2): 306-318. MITCHEELL A J, VANVAMPFORT D, SWEERS K, et al. Pervalence of metabolic syndrome and metabolic abnormalities in schizophrenia and related disorders-a systematic review and meta-analysis[J]. Schizophrenia Bulletin, 2013, 39(2): 306-318.
8、 NIAZI E, SARAEI M, AMINIAN O, et al. Frequency of metabolic syndrome and its associated factors in health care workers[J]. Diabetes Metab Syndr, 2019, 1 (13): 338-342. NIAZI E, SARAEI M, AMINIAN O, et al. Frequency of metabolic syndrome and its associated factors in health care workers[J]. Diabetes Metab Syndr, 2019, 1 (13): 338-342.
9、 LI R, LI W, LUN Z, et al. Prevalence of metabolic syndrome in mainland china: ameta-analysis of published studies[J]. BMC Public Health, 2016, 16 (1): 296. LI R, LI W, LUN Z, et al. Prevalence of metabolic syndrome in mainland china: ameta-analysis of published studies[J]. BMC Public Health, 2016, 16 (1): 296.
10、 MANTOVANI A, BALLESTRI S, LONARDO A, et al. Cardiovascular disease and myocardial abnormalities in nonalcoholic fatty liver disease[J]. Dig Dis Sci, 2016, 61 (5): 1246-1267. MANTOVANI A, BALLESTRI S, LONARDO A, et al. Cardiovascular disease and myocardial abnormalities in nonalcoholic fatty liver disease[J]. Dig Dis Sci, 2016, 61 (5): 1246-1267.
11、 BALINT B, JEPCHUMBA V K, GUEANT J L, et al. Mechanisms of homocysteine-induced damage to the endothelial, medial and adventitial layers of the arteral wall[J].Biochimie,2020(173):100-106. BALINT B, JEPCHUMBA V K, GUEANT J L, et al. Mechanisms of homocysteine-induced damage to the endothelial, medial and adventitial layers of the arteral wall[J].Biochimie,2020(173):100-106.
12、 SUNG S H, KIM N H, HONG S P, et al. Associations of metabolic syndrome with total testosterone and homocysteine levels in male korean workers[J]. Endocrinol Metab (Seoul),2019,34(2):158-168. SUNG S H, KIM N H, HONG S P, et al. Associations of metabolic syndrome with total testosterone and homocysteine levels in male korean workers[J]. Endocrinol Metab (Seoul),2019,34(2):158-168.
13、 冯胜强,刘岩,王亮,等. 老年人血清高敏C反应蛋白和同型半胱氨酸水平与代谢综合征关系的研究[J].2020,22(8):820-823. 冯胜强,刘岩,王亮,等. 老年人血清高敏C反应蛋白和同型半胱氨酸水平与代谢综合征关系的研究[J].2020,22(8):820-823.
14、 LEE H S, IN S, PARK T. The homocysteine and metabolic syndrome: a mendelian randomization study[J].Nutrients 2021,13(2440):1-11. LEE H S, IN S, PARK T. The homocysteine and metabolic syndrome: a mendelian randomization study[J].Nutrients 2021,13(2440):1-11.
15、 王忠丽,张雪梅,郝志华,等. 事业单位中老年人血清同型半胱氨酸水平与代谢综合征的关系[J].临床研究,2020,34(11):1165-1169. 王忠丽,张雪梅,郝志华,等. 事业单位中老年人血清同型半胱氨酸水平与代谢综合征的关系[J].临床研究,2020,34(11):1165-1169.
16、 黄奕铭,谭爱花,张海英,等. 广西防城港市中年男性同型半胱氨酸与代谢综合征相关性分析[J].中国现代医药杂志,2019,21(7):9-12. 黄奕铭,谭爱花,张海英,等. 广西防城港市中年男性同型半胱氨酸与代谢综合征相关性分析[J].中国现代医药杂志,2019,21(7):9-12.
17、 陈泽.人体血清同型半胱氨酸水平和心血管疾病的相关性分析[J].临床医学研究与实践,2020,5(33):106-107. 陈泽.人体血清同型半胱氨酸水平和心血管疾病的相关性分析[J].临床医学研究与实践,2020,5(33):106-107.
18、 TAO L X, YANG K, WU J, et al. Association between plasma homocysteine and hypertension: results from a cross-sectional and longitudinal analysis in Beijing's adult population from 2012 to 2017[J]. J Clin Hypertens (Greenwich), 2018, 20 (11): 1642-1632. TAO L X, YANG K, WU J, et al. Association between plasma homocysteine and hypertension: results from a cross-sectional and longitudinal analysis in Beijing's adult population from 2012 to 2017[J]. J Clin Hypertens (Greenwich), 2018, 20 (11): 1642-1632.
19、 LI W,SONG F,WANG X,et al. Relationship between metabolic syndrome and its components and cardiovascular disease in middle-aged and elderly Chinese population:a national cross-sectional survey[J].BMJ Open,2019,9(8):e027545. LI W,SONG F,WANG X,et al. Relationship between metabolic syndrome and its components and cardiovascular disease in middle-aged and elderly Chinese population:a national cross-sectional survey[J].BMJ Open,2019,9(8):e027545.
1、喜小梅.烟草暴露、同型半胱氨酸、血清NLRP3与代谢综合征的关联性研究[D].甘肃中医药大学,2024.DOI:10.27026/d.cnki.ggszc.2024.000409. 喜小梅.烟草暴露、同型半胱氨酸、血清NLRP3与代谢综合征的关联性研究[D].甘肃中医药大学,2024.DOI:10.27026/d.cnki.ggszc.2024.000409.
上一篇
下一篇
出版者信息








《广州医药》公众号
目录