广东省成年体检人群异常血脂水平分布情况调查  

Investigation of the distribution of abnormal blood lipid levels of health examination adults of all ages in Gangdong

作　　者：李华[1] 魏莲[2] 陈佑明[1] 黄敬[1] 刘铁连[1] 刘京平[1] 

机构地区：[1]南方医科大学第三附属医院检验科,广东广州510630 [2]广州医学院公共卫生学院

出　　处：《现代预防医学》2013年第7期1307-1309,共3页Modern Preventive Medicine

摘　　要：目的调查广东省成年体检人群各年龄段男女异常血脂水平分布情况。方法某院2009年11月～2010年11月对广东省多个市县20岁及20岁以上体检人群血脂检测28447人次,调查分别以不同年龄段、不同性别和不同异常血脂构成组进行统计分析。异常血脂样本中设定单纯总胆固醇升高人群为A组;单纯甘油三酯升高人群为B组;总胆固醇和甘油三酯均升高人群为C组。结果男女各年龄段内仅50岁～年龄段男女间异常血脂水平所占比例没有差异,其余各年龄段内均有明显差异(P=0.000);男女各年龄段内异常血脂构成比除20岁～和40岁～年龄段内B组与C组之间无明显差异,其余A组与B组,A组与C组,B组与C组之间男女性的异常血脂人数差别均显著(P≤0.05),并且3组男女性之间异常血脂的构成情况进行比较其差别均显著(P=0.000);男女性各年龄段异常血脂构成分布不同。结论广东省成年体检人群各年龄段异常血脂水平的分布随年龄的增长、性别的差异及异常血脂的构成不同而具有明显差异,女性在50岁后异常血脂率及混合型血脂异常比例明显上升不仅高于同年龄段男性,还远高于女性其他年龄段的变化,提示绝经期女性应注意血脂的定期检查,有利于预防和减少心血管病的发生。OBJECTIVE To investigate the distribution of abnormal blood lipid levels of health examination adults in Guangdong Province. METHODS We investigated and statistically analyzed abnormal blood lipid levels of 28 447 people the age of 20 years and over during period of November 2009 and November 2010 in Guangdong Province. Investigated health examination adult at different ages and gender, and abnormal blood lipid composition. According to abnormal blood lipid sample, there were three groups including only high total cholesterols （group A）; only high triglycerides （group B）; both high total cholesterol and triglyceride （group C）. RESULTS There were significantly age differences in the proportion of abnormal blood lipid levels in the other age groups （P = 0.000）, except the abnormal blood lipid level of age group of 50years without gender differences; And there were significant gender differences （P ≤ 0.05） in the composition of lipid abnormalities of male and female in other ages’ groups, including in group A and group B, group A and group C group B and group C, except in 20and over 40age groups between group B and C; And there were significant differences （P = 0.000） of the composition of lipid abnormalities on genders between three groups; also there was a different distribution of abnormal blood lipid composition of men and women of all ages. CONCLUSION There are significantly differences on the composition of lipid abnormalities, ages and genders of Guangdong adult medical health examination groups of all ages, also there are significant differences in the incidence rate of abnormal blood lipid and proportion of mixed one of female in the 50-year-old, which is highly above male with the same age, and also highly above other ages female, suggesting that postmenopausal female should pay attention to regular blood checks, for which helps prevent and reduce the incidence of cardiovascular disease.

关 键 词：广东省 体检人群 异常血脂 

分 类 号：R195[医药卫生—卫生统计学]