陕西秦岭以北地区成人血脂水平的横断面调查
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陕西省社会发展攻关课题(2009k17-04);;陕西省自然基金项目(2010JQ4012)


Cross-Sectional Survey of Serum Lipid Levels in the North Areas of Qinling Mountains in Shaanxi Province
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    摘要:

    目的评估陕西秦岭以北地区人群的血脂状况,描述血脂异常人群的流行病学特征。方法采用多极分层抽样方法,根据2007年中国成人血脂异常防治指南,对陕西省秦岭以北地区3298名居民进行血脂状况的调查。结果血脂异常的检出率为33.54%,标化率为32.11%。其中高胆固醇血症的检出率为8.13%,标化率为7.48%。高甘油三酯血症的检出率是16.89%,标化率是15.40%。低高密度脂蛋白血症的检出率为19.77%,标化率为19.72%。血脂异常、高甘油三酯血症、高胆固醇血症随着年龄的增加异常率逐渐升高。血脂异常的发生率在城市和农村之间没有差异,但男性远高于女性。吸烟和饮酒者的血脂异常率明显升高,糖尿病和高血压人群也显示出了较高的血脂异常率。Logistic多因素分析显示,血脂异常的危险因素包括性别、体质指数、高血压、糖尿病、教育程度。结论陕西省秦岭以北地区具有较高的血脂异常发生率,需根据性别、肥胖程度、是否有糖尿病、高血压及受教育程度进行针对性的血脂防治。

    Abstract:

    Aim To evaluate condition of lipid metabolism in the population of north areas of Qinling Mountains in Shaanxi Province,and describe the epidemiological characteristics of people with dyslipidemia.Methods According to 2007 China adult dyslipidemia guidelines,a prevalence survey with stratified random sampling method in 3298 persons was carried out.Results The detection rate of dyslipidemia was 33.54%,standardized rate was 32.11%.The incidence rates of hypercholesterolemia was 8.13%,standardized rate was 7.48%.The incidence rates of hypertriglyceridemia was 16.89%,standardized rate was 15.40%.The incidence rate of lower high density lipoprotein(HDL)was 19.77%,standardized rate was 19.72%.The prevalence of dyslipidemia had no difference between urban and rural areas,but there was significant difference in sex.The prevalence of dyslipidemia,hypercholesterolemia and hypertriglyceridemia had trend of increasing with age growing.Smoker and drinker had significantly higher rate of dyslipidemia.Diabetes and hypertension groups also showed a higher rate of dyslipidemia.After Logistic analysis on dyslipidemia,the risk factors included gender,body mass index(BMI),hypertension,diabetes and education.Conclusion The prevalence of dyslipidemia in the north areas of Qinling Mountains in Shaanxi Province is relatively high.Prevention and treatment of blood fat should be made according to the gender,hypertension,diabetes,obesity condition and education level.

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高彬,陈非,张雅萍,张麦叶,孙会会,房玉杰,姬秋和.陕西秦岭以北地区成人血脂水平的横断面调查[J].中国动脉硬化杂志,2010,18(10):824~827.

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  • 收稿日期:2010-08-06
  • 最后修改日期:2010-10-04
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