不同职业对西藏高原地区居民血脂水平的影响  

The Influence of Different Occupations on the Serum Level of Lipid in Tibetan Area

作　　者：徐绍鹏[1] 高正选 加永泽培 李斌 孟凡龙 唐毅 杨腾炎 朱红[3] 

机构地区：[1]天津医科大学总医院心脏科,300052 [2]西藏昌都地区人民医院 [3]天津医科大学公共卫生学院

出　　处：《天津医药》2011年第6期517-519,共3页Tianjin Medical Journal

基　　金：西藏昌都地区十二.五重点生物工程项目子课题

摘　　要：目的:调查我国西藏地区居民的血脂水平及不同职业对血脂的影响。方法:选择西藏昌都地区血脂检查者432例,按职业性质分为2组,体力劳动者334例,脑力劳动者98例。比较2组血浆三酰甘油(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)平均水平的差异。结果:所选样本血脂的异常率分别为高TG23.2%,高TC18.8%,低HDL-C37.5%,高LDL-C30.3%。体力和脑力工作者TG分别为(1.27±0.92)和(1.52±1.10)mmol/L,TC分别为(3.98±1.20)和(4.37±1.41)mmol/L,LDL-C分别为(2.78±1.05)和(3.03±1.15)mmol/L,差异均有统计学意义(均P<0.05),而HDL-C分别为(1.38±3.04)和(1.28±0.47)mmol/L,差异无统计学意义(P>0.05)。结论:西藏地区血脂异常的患病率高于全国普遍水平,脑力工作者是防治高脂血症的重点人群。Objective： To investigate the influence of different occupations on the serum level of lipid in Tibetan. Methods： Four hundred and thirty-two persons were enrolled in our study in Changdu district. The persons were divided into two groups according to their occupation, brain worker （n=98） and manual worker （n=334）. The levels of plasma triacylglycerol （TG）, total cholesterol （TC）, high density lipoprotein-cholesferol （HDL-C） and low density lipoprotein-cholesterol （LDL-C） were detected in two groups. Results： The abnormal rates of TG, TC, HDL-C and LDL-C were 23.2%, 18.8%, 37.5% and 30.3% respectively. The serum levels of TG were （1.27±0.92） mmol/L and （1.52±1.10） mmol/L in brain workers and manual workers （P 〈 0.05）, the serum levels of TC were （3.98±1.20） mmol/L and （4.37±1.41） mmol/L （P 〈 0.05）, the levels of LDL-C were （2.78±1.05） mmol/L and （3.03±1.15） mmol/L （P 〈 0.05） and the levels of HDL-C were （1.38±3.04） mmol/L and （1.28±0.47） mmol/L for brain workers and manual workers （P 〉 0.05）. Conclusion： The prevalence of dyslipidemia is higher in Tibetan than that of the average level of Chinese. Occupation is the influence factor of lipid level.

关 键 词：高原病 胆固醇 HDL胆固醇 LDL 甘油三酯类 职业 西藏[自治区] 

分 类 号：R589.2[医药卫生—内分泌]