延安市在岗人群血脂分布特征及其与高血糖高血压的关系  

Lipids level distribution of people on work in Yanan and its relation with hyperglycemia and hypertension

作　　者：樊霞[1] 高峰[2] 朱艳[1] 缑润平[2] 杜珏[2] 李转霞[1] 韩红梅[2] 白莉莉[1] 

机构地区：[1]延安大学医学院预防医学教研室,延安716000 [2]延安大学附属医院

出　　处：《现代预防医学》2012年第23期6197-6200,共4页Modern Preventive Medicine

基　　金：延安市科技计划项目(2009KS-23)

摘　　要：目的分析延安市在岗人群的血脂分布特征及其与高血糖、高血压的关系,为慢性病防治提供科学依据。方法采用分层整群随机抽样,对2480名在岗人员进行问卷调查和测量血清甘油三酯、总胆固醇、血糖、血压等。按不同因素分组后进行描述、组间比较和计算RR值。结果 TG平均水平(2.06±1.32)mmol/L、TC平均水平(4.49±0.96)mmol/L,血脂异常检出率54.64%(标准化率51.87%)均高于全国平均水平和国内部分地区研究结果。HTG检出率(50.81%)明显高于HTC检出率(18.89%)。标准化血脂异常率男性(63.08%)显著高于女性(42.40%)(χ2=220.92,P﹤0.01)。TG和TC水平都与年龄有关,男性在30岁组开始增高,女性在50岁组开始显著增高。50岁以前各年龄组TG和TC水平均是男性高于女性,50岁以后女性显著高于男性。血脂异常患高血糖、高血压的危险是血脂正常的2.97～6.02倍和3.16～5.37倍;相同血脂指标水平升高对女性的危险性高于对男性的;男性在40岁以后危险性更高,女性在50岁以前危险性更高。结论延安市在岗人员中男性的血脂水平和血脂异常率都在全国处于高水平。血脂异常时显著增高了患高血糖、高血压的危险性。提示全社会、有关部门应该对该人群进行更广泛,更早期的调脂干预。OBJECTIVE To learn about lipids level distribution of the working group in Yanan and its relation with hyperglycemia and hypertension to provide scientific basis for chronic disease prevention.METHODS By andom sampling,2 480 persons on work were investigated with questionnaire,and tested for triglyceride,total cholesterol,blood glucose and blood pressure.Statistical description,comparison and RR calculation were carried out.RESULTS Average TG：（2.06±1.32） mmol /L,average TC：（4.49±0.96） mmol /L,dyslipidemia detectable rate：54.64%（standard rate：51.87%）,all higher than the national average and the results of other regions in China.HTG detectable rate（50.81%） was significantly higher than HTC detectable rate（18.89%）.Standardized dyslipidemia for males（63.08%） was significantly higher than that of the female（42.40%）（χ2 = 220.92,P﹤0.01）.TG and TC levels were relevant to ages,and for males it was raising at the 30＇s age-group,for females it was significantly raising at the 50＇s age-group.TG and TC levels of males were higher than that of females for age groups before 50,but they were significantly higher of females than that of males after 50.The risk of high blood sugar and high blood pressure for dyslipidemia patients was 2.97-6.02 and 3.16-5.37 times of the normal group,respectively.Rise in the same index was more risky for females than for males.For males,it was more risky after 40,and for females it was before 50.CONCLUSION Lipids level and dyslipidemia rate of males on work in Yanan is higher than the average in China,and the risk for hyperglycemia and hypertension have significantly increased.Society should pay more attention to them and early interventions should be necessary.

关 键 词：在岗人群 血脂 高血糖 高血压 RR 

分 类 号：R544.1[医药卫生—心血管疾病] R587.1[医药卫生—内科学]