新疆汉族成年人三酰甘油分布特点及其与颈动脉粥样硬化的关系  

Feature of Serum Triglyceride Distribution and Its Association with Carotid Atherosclerosis in Xinjiang Han Adult Population

作　　者：袁山[1] 向阳[1] 马依彤[1] 李晓梅[1] 杨毅宁[1] 马翔[1] 黄莺[1] 付真彦[1] 谢翔[1] 刘芬[1] 王磊[1] 潘硕[1] 

机构地区：[1]新疆医科大学第一附属医院心脏中心,新疆乌鲁木齐市830054

出　　处：《中国全科医学》2011年第13期1434-1437,共4页Chinese General Practice

基　　金：新疆自治区重大科技专项课题(200733146-3)

摘　　要：目的调查新疆地区汉成人三酰甘油(TG)的分布特点及其与颈动脉粥样硬化(CAS)的关系。方法应用四阶段整群随机抽样法,在新疆的7个地区抽取年龄在35岁以上汉族样本。统计TG水平及TG升高的患病率,并分析TG升高与CAS的关系。结果汉族TG平均水平为1.33 mmol/L,男性1.52 mmol/L,女性1.19 mmol/L,男女间差异有统计学意义(P<0.01)。经年龄标化TG边缘升高和高TG血症的患病率分别为14.4%、20.7%。TG升高的知晓率为17.1%、治疗率为6.8%、控制率为3.4%。标化后CAS组的高TG血症的患病率(26.2%)高于非CAS组(18.5%),差异有统计学意义(P<0.05)。非条件Logistic回归分析显示高TG血症是CAS的危险因素[OR=1.276,95%CL(1.098,1.484)]。结论新疆地区汉族的TG平均水平及TG升高患病率较高,TG升高的知晓率、治疗率、控制率较低。高TG血症在汉族可能是CAS的危险因素,应加强对新疆地区汉族血脂异常的教育及监测。Objective To investigate the feature of distribution of triglyceride（TG） and its association with carotid atherosclerosis（CAS） in Xinjiang Han adult population.Methods Four-stage cluster random sampling was used to enroll ethnic Han subjects aged 35 and over from 7 regions in Xinjiang.And the TG levels and the prevalence of increased TG were statistically analyzed,and the relationship between TG increase and CAS was also analyzed.Results The level of serum triglyceride was 1.33 mmol/L in Han population,and there was a statistics difference between the level of 1.52 mmol/L in male and 1.19 mmol/L in female（P0.01）.Age-standardized morbidities of borderline hypertriglyceridemia and hypertriglyceridemia were 14.4% and 20.7% respectively.The percentage of self-awareness of hypertriglyceridemia was 17.1%,the percentage of treatment was 6.8%,and the percentage of control was 3.4%.Standardized prevalence of hypertriglyceridemia was higher in those with CAS than those without CAS（26.2% vs 18.5%,P0.05）.No-condition logistic regression analysis showed that hypertriglyceridemia might be a risk factor of CAS.Conclusion The level of serum triglyceride and prevalence of hypertriglyceridemia are higher in Xinjiang Han adult population.Percentages of awareness,treatment and control for hypertriglyceridemia are lower.Hypertriglyceridemia may be a risk factor of CAS in Han population.Education and monitoring on hypertriglyceridemia should be strengthened for Xinjiang Han population.

关 键 词：高甘油三酯血症 颈动脉粥样硬化 新疆 汉族 

分 类 号：R589.21[医药卫生—内分泌]