成年男性健康体检人群血红蛋白与高血脂关系探讨  

Study on the Relation between Hemoglobin and High Blood Fat in Healthy Test of Adult Males

作　　者：阴斌霞[1] 高文香 高宁[1] 徐阳[1] 

机构地区：[1]西安交通大学医学院第二附属医院检验科,西安710004 [2]长安医院检验科,西安710018

出　　处：《现代检验医学杂志》2013年第2期51-53,共3页Journal of Modern Laboratory Medicine

摘　　要：目的探讨成年男性健康体检人群血常规参数-血红蛋白（Hb）浓度与高血脂的关系。方法随机调查了493例25岁以上成年男性健康体检人群Hb浓度和血清胆固醇CHO）、三酰甘油（TG）和低密度脂蛋白胆固醇（LDL—C）检测情况。共分三组比较，285例40岁以上（含40岁）。Hb≥150g／L男性健康体检人群作为试验组；130例40岁以上（舍40岁）。Hb〈150g／L男性健康体检人群作为对照1组；78例25～39岁．Hb≥150g／L男性健康体检人群作为对照2组。结果试验组血清CHO，TG，LDL-C浓度（5．299，2．560，3．099）mmol／L显著升高，与对照1组（4．600，1．633，2．768）mmol／L和对照2组（4．644，1．782，2．715）mmol／L比较，经显著性t检验，差异有统计学显著性意义（t=4．071～8．637，P值均〈0．01）。试验组血清CHO，TG异常检出率（0．596，0．747）与对照1组（0．285，0．338）和对照2组（0．321，0．436）比较均有明显升高，经χ^2检验差异有统计学显著性意义（χ^2=18．76～63．31，P值均〈0．01），试验组血清LDL-C异常检出率（0．456）与对照2组（0．438）和对照1组（0．485）比较差异均无统计学意义（χ^2=0．058，0．291，P值〉0．05）。结论40岁以上男性健康体检人群在做血常规分析时，如果发现Hb≥150g／L，应及时进行血脂全套检查，了解自己的血脂状况，采取积极的干预措施，防止高血脂，预防心脑血管病的发生。Objective To investigate the relation between adult male health check-up population＇s blood routine parametershemoglobin （Hb） concentration and high blood lipid. Methods A random detection of 493 patients above 25 years old adult male healthy population＇ s Hb concentration and serum cholesterol （CHO）, triglyeeride （TG）, and low density lipoprotein cholesterol （LDL-C） ,the people were divided into three groups. 285 patients older than 40 years （including 40 years）, Hb≥ 160 g/L male healthy population as experimental group; 130 patients over 40 years （including 40 years）, Hb〈150 g/L male healthy persons as control group 1;78 cases of 25-40 years old, Hb≥150 g/L male healthy people as control group 2. Resuits In the experimental group （40 years old Hb≥150 g/L male healthy people） serum CHO,TG and LDL-C concentrations （5. 299,2. 560,3. 099） mmol/L were significantly increased comparing with the control group 1 （4. 600, 1. 633 and 2. 768）mmol/L and the control group 2 （4. 644,1. 782 and 2.715）mmol/L. Through t test,it was significant difference with two control group （t= 4. 071 -8. 637, P〈0.01）. The experimental group of serum CHO, TG abnormality rate （0. 596, 0. 747）. With the χ^2 test,significantly increases compared with the control group 1 （0. 285,0. 338） and the control group 2 （0. 321,0. 436）. With the χ^2 test, there was significantly increased compared with the control group 1 and the group 2 （χ^2= 18.76-63.31,P〈0.01）. There was no significant difference in the first group serum LDL-C abnormality rate compared with the control group and control group 1 （Z2 =0. 058 or 0. 291,P〉0.05）. Conclusion When the routine analysis of blood was made in the healthy adult male over the age of 40,if Hb≥ 150 g/L,should be timely done a full set of examination of lipid,know the serum lipids of their situation, take active measures to prevent high blood lipids,prevent cardiovascular and cerebrovascular disease.

关 键 词：成年男性健康人群 血红蛋白 高血脂 

分 类 号：R446.112[医药卫生—诊断学]