太原市社区人群与定期体检人群空腹血糖、血脂及血尿酸水平的调查分析  

Investigation and Analysis on Fasting Blood Glucose,Blood Lipids and Serum Uric Acid Levels in Community Groups and Regular Physical Examination Groups of Taiyuan

作　　者：申秀敏[1] 宋晓苏[1] 

机构地区：[1]山西医科大学第二医院体检中心实验室,山西省太原市030001

出　　处：《中国动脉硬化杂志》2011年第8期697-701,共5页Chinese Journal of Arteriosclerosis

摘　　要：目的比较社区人群与定期体检人群之间血糖、血脂和血尿酸水平以及糖尿病、高血脂和高尿酸血症患病率的差异,为糖尿病、高脂血症、高尿酸血症的一级预防提供依据。方法对9960名太原市社区常住居民及我院体检中心定期体检的健康体检者的空腹血糖、血脂、尿酸水平及异常率进行调查,并比较其差异。结果太原市社区人群空腹血糖、血脂、血尿酸水平与定期体检人群比较差异无统计学意义;两人群高密度脂蛋白胆固醇、血尿酸水平有性别差异(P<0.05);同性别两人群各指标水平差异无统计学意义。社区人群糖尿病和高血脂患病率高于定期体检人群(P<0.05),高尿酸血症患病率未发现有差异;社区人群和定期体检人群糖尿病、高血脂(除高甘油三酯血症外)、高尿酸血症患病率有性别差异(P<0.05);两人群中男性低密度脂蛋白胆固醇异常率和高尿酸血症患病率差别有统计学意义,两人群中女性三种疾病患病率均有统计学差异(P<0.05)。社区男性人群糖尿病患病率、低密度脂蛋白胆固醇异常率随年龄增加有增高趋势,高密度脂蛋白胆固醇异常率、高尿酸血症随年龄增加有降低趋势,女性人群三种疾病患病率随年龄增加均有增高趋势;定期体检男性人群高密度脂蛋白胆固醇、低密度脂蛋白胆固醇患病率及高尿酸血症患病率随年龄增加有增高趋势,女性人群三种疾病患病率随年龄增加均有增高趋势(P<0.05)。结论定期体检有助于早期发现糖尿病、高血脂;年龄是高血脂、高尿酸血症的危险因素,女性高龄人群是高尿酸血症的高危人群。Aim To provide a basis for the primary prevention of diabetes,hyperlipemia and hyperuricemia by comparing the difference on blood glucose,blood lipids and serum uric acid levels in community groups and regular physical examination groups,and the prevalence rates of hyperglycemia,hyperlipemia and hyperuricemia. Methods The difference on fasting blood glucose,blood lipids（including total cholesterol（TC）,triglyceride（TG）,high density lipoprotein cholesterol（HDLC）,low density lipoprotein cholesterol（LDLC） and serum uric acid levels were compared in community groups and regular physical examination groups of Taiyuan in our hospital.The total number of these two groups were 9960. Results Fasting blood glucose,bood lipids and serum uric acid had no difference between community groups and regular physical examination groups.LDLC and uric acid between the two groups were significantly different.The incidence of diabetes and hyperlipemia in community groups were significantly higher than that in regular physical examination groups.The incidence of hyperuricemia had no difference between the two groups.The incidence of these illnesses had sex difference.The incidence of diabetes,hyperlipemia and hyperuricemia in women changed along with age. Conclusions Regular physical examination is helpful to diagnose the diabetes and hyperlipemia.The incidence of hyperlipemia and hyperuricemia is influenced by age.The old age women have high risk for hyperuricemia.

关 键 词：血糖 血脂 血尿酸 患病率 

分 类 号：R18[医药卫生—流行病学]