北京社区居民甘油三酯异常现状分析  

Current status of hyper-triglyceridemia in community residents of Beijing

作　　者：王桂莲[1] 孙艺红[1] 傅媛媛[1] 胡大一[1] 

机构地区：[1]北京大学人民医院心脏中心,100044

出　　处：《中华全科医师杂志》2009年第7期443-447,共5页Chinese Journal of General Practitioners

基　　金：北京市科委科技攻关项目社区居民胆固醇教育和控制（D0906002040191）

摘　　要：目的调查北京社区人群甘油三酯（TG）水平现状。方法于2007年6月至8月，采用整群抽样方法，对北京10054名社区居民进行问卷调查、体格检查及检测空腹血浆TG。结果10054名被调查者TG平均水平1．17（0．81～1．78）mmol／L，TG边缘升高者1234人（12．27％）；高TG血症者1512人（15．04％）。男性TG平均水平与女性差异无统计学意义（P=0．187），分别为1．16（0．80—1．84）mmol／L和1．18（0．81～1．75）mmol／L。经年龄标化后的男性TG边缘升高患病率、高TG血症患病率（分别为11．60％、20．32％）均高于女性（分别为10．90％、10．88％）。50岁前男性TG水平及异常率高于女性，50岁后女性明显高于男性。城市人群TG平均水平高于农村，分别为1．31（0．89—1．95）mmol／L和1．05（0．73—1．58）mmol／L（P〈0．01）；异常率也高于农村。TG异常者的知晓率、药物治疗率及控制率分别为13．95％、35．92％、38．51％。标化后的冠心病组TG边缘升高患病率和高TG血症患病率（分别为24．79％、25．31％）高于非冠心病组（分别为11．22％、15．35％）。结论北京社区居民TG升高者比例较大，而TG升高的知晓率、治疗率及控制率相对较低，应加强对城市男性、50岁后女性及冠心病患者血脂异常的教育和监测。Objective To investigate blood level of triglyceride （TG） in community residents of urban and rural Beijing. Methods A total of 10 054 community residents were recruited by cluster sampling for investigation using questionnaire, as well as physical examinations and fasting plasma TG determination for diagnosing hypertriglyceridemia, during June to August, 2007. Results Median of plasma level of TG of the participants was 1.17 mmol/L, ranging （0. 81 - 1.78） mmol/L. Totally, 1234 people were diagnosed as borderline hypertriglyceridemia and 1512 as hypertriglyeeridemia, with prevalence of 12.27% and 15.04% , respectively. There was no significant difference in plasma level of TG between men andwomen [1.16 （0.80-1.84） mmol/Lvs. 1.18 （0.81 -1.75） mmol/L, P=0.187]. Age-adjusted prevalence of borderline hypertriglyceridemia and hypertriglyceridemia was higher in men than those in women （ 11.60% vs. 10. 90% and 20. 32% vs. 10. 88% , respectively） , and the same results were obtained in those less than 50 years old, however, reverse outcomes were got in those more than 50 years old. Plasma level of TG, as well as prevalence of hypertriglyceridemia, were higher in those living in urban areas than those in rural areas [ 1.31 （0.89 - 1.95） mmol/L vs. 1.05 （0.73 - 1.58） mmol/L]. Awareness, proportion of people with hyperglyceridemia under treatment and proportion of those with TG under control were 13.95% , 35.92% and 38.51% , respectively. Standardized prevalence of borderline hyperglyceridemia and hyperglyceridemia were higher in those with coronary heart disease than those without it （24.79% vs. 11.22% and 25.31% vs. 15.35% , respectively）. Conduslolm Awareness, proportion of treatment and proportion of those under control for hyperglyceridemia were all lower in community residents of Beijing. Education and monitoring on hyperglyceridemia should especially be strengthened for urban residents, women aged more than 50 years, and those with coronary heart disease.

关 键 词：高甘油三酯血症 横断面研究 问卷调查 

分 类 号：R[医药卫生]