宁夏职业人群的高脂血症流行特征研究  

Epidemiologic Study on the Hyperlipidemia Among Occupational populations of Ningxia

作　　者：任继虎[1] 宋辉[2] 赵川[2] 王冠梅[1] 谢峰[1] 孔庆宇[1] 

机构地区：[1]宁夏疾病预防控制中心,宁夏银川750004 [2]宁夏医科大学公共卫生学院

出　　处：《现代预防医学》2012年第16期4095-4097,4104,共4页Modern Preventive Medicine

基　　金：宁夏自然科学基金项目(NZ0879);宁夏卫生厅重点科研计划项目(2011086)

摘　　要：目的了解宁夏地区职业人群高脂血症的流行现状,为防治高脂血症提供科学依据。方法运用分层整群抽样的方法,选择2009年3～10月至宁夏医科大学附属医院进行健康检查的宁夏地区政府机关及国有集体所有制事业单位的职工作为调查对象,进行问卷调查、体格检查及实验室检测。高脂血症采用2007年《中国成人血脂异常防治指南》作为诊断标准。结果共调查3321人,资料齐全者3191人,宁夏地区职业人群高脂血症总体患病率为58.6%,标化患病率为37.5%,其中男性高脂血症粗患病率为74.0%,标化患病率为47.5%;女性高脂血症粗患病率为35.8%,标化患病率为26.1%,男性患病率明显高于女性(χ2=459.754,P﹤0.01);男性和女性高脂血症患病率均随年龄及体质指数的增高而升高(χ2分别为224.447和466.938,均有P﹤0.01);宁夏汉族职业人群高脂血症标化患病率(32.6%)高于回族29.5%(P﹤0.05)。结论宁夏地区职业人群高脂血症患病率接近或高于国内大城市患病水平;中老年人群特别是中老年男性是高脂血症的高发人群,是本地区干预和防控的重点人群。OBJECTIVE To investigate the prevalence of hyperlipidemia among occupational populations of Ningxia, and to provide a scientific basis for hyperlipidernia prevention. METHODS With cluster sampling method, workers taking routine health check-up were selected from department of government and enterprises and collective ownership of Ningxia. Questionnaire survey, physical examination and laboratory test were conducted in the participants. Hypedipidemia was defined according to definition of the China Adult Dyslipidemia Prevention Guide. RESULTS Among 3 321 of this survey, a total of 3 191 subjects had complete data. The total prevalence rate of hyperlipidemia was 58.6%, the age-adjusted prevalence rate of hyperlipidemia was 37.5%; the crude prevalence rate of hypedipidemia was 74.0% in male, and the age-adjusted prevalence rate of hyperfipi- demia was 47.5% ; In females, the crude prevalence rate of hyperlipidemia was 35.8%, and the age-adjusted prevalence rate of hyperlipidemia was 26.1%. The prevalence rate of the male was obviously higher than that of female （x2= 459.754, P 〈 0.01 ） . The male and female rates of hyperlipidemia increased with the rise of age and BMI （P 〈 0.01 ）. The standardized preva- lence rate of hypedipidemia of Han population in Ningxia （ 63.6% ） was significantly higher than that of Hui population （29.5%）. CONCLUSION The prevalence rate of hyperlipidemia among Ningxia occupational populations was significantly nhigher than that of big in China. Middle-age and senior people, especially the male, are high incidence population in the local district, so they should be the intervened, prevented and controlled population.

关 键 词：高脂血症 患病率 危险因素 相关性 

分 类 号：R589.2[医药卫生—内分泌]