延边朝鲜族自治州朝鲜族和汉族人群血脂异常情况及其相关因素  

Comparison of dyslipidemia prevalence between Korean and Han populations in Yanbian state

作　　者：方今女[1] 金平锡 周魏[1] 孙男[1] 熊英环[1] 

机构地区：[1]延边大学医学院预防医学教研部,延吉133000 [2]延边朝鲜族自治州安图县医院

出　　处：《中华预防医学杂志》2008年第2期111-114,共4页Chinese Journal of Preventive Medicine

基　　金：国家自然科学基金（30260098）;吉林省教育厅基金（200481）

摘　　要：目的了解延边农村地区朝鲜族和汉族人群的血脂水平及血脂异常患病率，并探讨其相关因素。方法于2005年8月至2006年8月在延边农村地区采用简单随机抽样方法抽取30～70岁朝鲜族和汉族人群3011人，测量其身高、体重、腰围、臀围等指标，同时取清晨空腹（禁食12h）静脉血，并准确测定血脂指标。结果朝鲜族男女的高密度脂蛋白胆固醇测定值分别为（1．04±0.45）、（1．07±0.43）mmol／L，汉族男女的测定值分别为（1．16±0.52）、（1．19±0.56）mmol／L。朝鲜族男性的甘油三酯测定值[（2．10±2.08）mmol／L]显著高于汉族男性的测定值[（1．72±1．73）mmol／L]（F=13．543；P〈n001）。朝鲜族男性的高胆固醇血症的患病率（2．3％）显著低于汉族（5．2％）（x^2=6．639；P〈0．01），而高甘油三酯血症患病率（23．3％）却显著高于汉族（15．0％）（x^2=12．720；P〈0.001）。朝鲜族女性的混合型高脂血症患病率（6．7％）高于汉族（41％）（x^2=6．394；P〈0.05）。朝鲜族和汉族男性血脂异常粗患病率分别为31．5％和24．4％，其年龄调整患病率分别为28．7％和23．0％；女性朝鲜族和汉族血脂异常的粗患病率分别为28．9％和21．7％，其年龄调整患病率分别为21．5％和20．5％。多因素分析结果表明，本地区人群的性别、年龄、腰围臀围比值、腰围身高比值和民族（朝鲜族）与血脂异常患病呈正相关。结论朝鲜族和汉族人群的血脂水平及血脂异常患病率存在差异。民族（朝鲜族）、性别、年龄、腰围臀围比值、腰围身高比值是本地区血脂异常的危险因素。Objective To compare the lipid levels,dyslipidemia prevalence and the influencing factors between Korean and Han nationalities in Yanbian state. Methods A population-based cross-sectional study was conducted. Totally 3011 subjects, ranging from 30 to 70 years old, were included. Height, weight, waist and hip circumference, serum lipids were measured. Results The HDL-C concentration of male and female Korean （ 1.04 ±0. 45 mmol/L and 1.07 ± 0. 43 mmol/L, respectively） was significantly lower than those of Han（ 1.16 ± 0. 52 mmol/L and 1.19 ± 0. 56 mmol/L, F = 14. 423 and 20. 827 ; P 〈 0. 001 ）. The TG concentration of male Korean（2. 10 ± 2. 08 mmol/L）was significandy higher than that of Han male （1.72±1.73 mmol/L, F = 13. 543; P 〈0. 001 ）and the prevalence of high triglyceride among male Korean（23. 3% ） was also significantly higher than that of male Han（15. 0% ,x^2 = 12. 720;P 〈0. 001）. However,the prevalence of high total cholesterol among male Korean （2. 3% ） was significandy lower than that of Han male（5. 2% ,x^2 =6. 639;P 〈0. 01 ）. The prevalence of high TC and TG among female Korean（6.7% ）was significantly higher than those of female Han （4. 1% ,x^2 = 6. 394;P 〈0. 05）. The crude rate of dyslipidemia of Korean was 31.5% ,while that of Han was 24. 4%, and the age-adjusted prevalence was 28. 7% and 23. 0% ,respectively ,which showed significant ethnic differences in male. The crude rate of dyslipidemia of Korean was 28. 9%, while that of Han was 21.7%, and the age-adjusted prevalence was 21.5% and 20. 5% ,respectively,which also showed significant ethnic differences in female. The prevalence of dyslipidemia was positively correlated with sex, age, WHR, WHtR, and nationality. Conclusion There were significant differences in the lipid profiles and the prevalence of dyslipidemia between Korean and Han nationalities. Sex,age,WHR,WHtR,and nationality in this state should be risk factors of the dyslipidemia.

关 键 词：血脂异常 汉族 人种群 

分 类 号：R686[医药卫生—骨科学]