珠海市斗门区农村居民血脂异常及与慢性非传染性疾病聚集性研究  

Investigation on Status of Lipid Disorders and Chronic Noninfectious Diseases Aggregation in Doumen Rural Area of Zhuhai City

作　　者：金莉子[1] 黄日荷[1] 邬伟明[1] 陈剑[1] 陈筱潮[1] 

机构地区：[1]中山大学附属第五医院心内科,广东珠海519000

出　　处：《中山大学学报（医学科学版）》2009年第A04期151-154,161,共5页Journal of Sun Yat-Sen University:Medical Sciences

基　　金：广东省科技计划项目(粤科技字[2005]143号);珠海市科技计划项目(珠科[2005]45号)

摘　　要：【目的】分析珠海市斗门区农村居民血脂异常及与慢性非传染性疾病聚集性状况,为心脑血管疾病等慢性非传染性疾病预防提供参考。【方法】按照分层随机抽样原则随机抽取斗门区两镇4个自然村,对其农村居民进行入户调查、体检,分析血脂异常分布情况与糖尿病、高血压、肥胖、高尿酸血症的关系及相关危险因素。【结果】调查人群高胆固醇血症(TC)、高甘油三酯血症(TG)、高低密度脂蛋白血症(LDL-C)和低高密度脂蛋白血症(HDL-C)的患病率分别为41.8%、15.3%、67.5%及0.2%,高TC、高LDL-C和女性高TG的患病率均随着年龄的增长而增高,并具有阶段性特点;血脂异常与高血压、糖尿病、肥胖、血尿酸异常等疾病具有明显聚集性,女性显著于男性,Logistic逐步回归分析显示TC异常患病率与年龄和腹型肥胖正相关,与高血压家族史、吸烟负相关;TG异常患病率与超重肥胖和腹型肥胖正相关,LDL-C异常患病率与年龄和腹型肥胖正相关。【结论】斗门区农村居民血脂异常患病率均较高,且女性显著于男性,必须引起足够重视,防治重点应采取点面结合方式,加强对群体宣传和重点人群干预,控制肥胖,减少血脂异常及心血管疾病的发生。[Objective] To investigate the status of lipid disorders and chronic noninfectious diseases aggregation in doumen rural area of Zhuhai city and provide reference to prevent chronic noninfectious diseases like cardio-cerebral disease. [ Methods ] Four villages in two towns of Doumen were sampled through stratified randomized sampling, and information of the residents was collected by investigate, physical examination, and laboratory test, then analyzed the risk factors of lipid disorder and the relationship with diabetes mellitus, hypertension, obesity, hyperuricaemia. [ Results ] The morbidity rates of hypercholesterolemia, hypertriglyceridemia, high LDL-C, low HDL-C were 41.8%,15.3%,67.5% and 0.2% separately. Both in men and women, the rates of hypercholesterolemia and high LDL-C went up with the age, but only in female, the rate of hypertriglyceridemia went up, and there were aggregation between lipid disorders and hypertension, diabetes mellitus, obesity, hyperuricaemia., especially in female, logistic regression analysis showed that TC disorder rate was positive correlation with age and central obesity, it was negative correlation with hypertension family history and smoking. TG disorder rate was positive correlation with overweight and central obesity, LDL-C disorder rate was positive correlation with age and central obesity. [,Conclusion] The lipid disorders rate in doumen rural area was high, especially in women, and enough attention should be given. We should focus our prevention and control on strengthening drumbeating and intervening to control obesity and decrease lipid disorders cardio-cerebral disease.

关 键 词：血脂异常 非传染性疾病 患病率 危险因素 

分 类 号：R54[医药卫生—心血管疾病]