体检者1430例血脂异常调查  

DYSLIPIDEMIA IN PHYSICAL EXAMINATION:A SURVEY OF 1430 CASES

作　　者：王田田[1] 王旭[1] 栾淑芳[1] 管军[1] 

机构地区：[1]青岛大学医学院附属青岛市市立医院心内科,山东青岛266071

出　　处：《齐鲁医学杂志》2014年第1期71-73,共3页Medical Journal of Qilu

摘　　要：目的了解青岛市体检人群血脂异常的特点,为血脂异常的防治提供科学依据。方法对2012年3—6月我院门诊1 430例体检者进行问卷调查和现场检查。结果随着体质量指数增加,血清总胆固醇（TC）、三酰甘油（TG）、低密度脂蛋白胆固醇（LDL-C）水平升高,高密度脂蛋白胆固醇（HDL-C）水平降低,差异有显著性（F=11.478~28.568,P〈0.01）。TC水平随年龄增长而升高,但男性在59岁以后、女性在69岁以后呈现下降趋势。TG水平男性30~39岁组较40~49岁组高,之后随年龄增加而升高,至59岁后随年龄增加而下降;女性30~39岁组较40~49岁组高,49岁以后随年龄增加而升高。LDL-C水平均随年龄增加而升高,但男性在59岁以后呈现下降趋势。男性HDL-C水平随年龄增加而降低,至69岁后随年龄增加而升高;女性30~39岁组较40~49岁组低,49岁以后随年龄增加而下降,差异有显著性（F=2.688~7.584,P〈0.05）。脑力劳动组TC、TG、LDL-C水平高于体力劳动组,HDL-C水平低于体力劳动组,差异有显著性（t=-4.794~3.416,P〈0.05）。结论青岛地区冠心病发病率居全国之首,可能与当地人群血脂水平偏高,体质量超标、肥胖者比例偏高及工作压力大、缺乏锻炼等有关;中青年人群及脑力劳动群体高脂血症的防治应得到更多的关注。Objective To understand the features of dyslipidemia in people of Qingdao carrying out a medical examination,and provide a scientific evidence for its prevention and therapy. Methods A questionnaire survey and on-the-spot examination were conducted in 1 430individuals who carried out medical examination in our clinic during 2012.03—06. Results The levels of TC,LDL-C and TG elevated and HDL-C declined along with the increase of body mass index（BMI）,the differences being significant（F=11.478-28.568,P0.01）.The levels of TC elevated along with age,but there was a tendency to lower after 59 in men and 69in women;The levels of TG was higher in 30-39-year group than 40-49-year group in male,and then elevated along with the years until 59,then declined with advancing age;in female,it was higher in 30-39-year group than 40-49-year group,and elevated as getting older.The levels of LDL-C elevated along with getting older,but declined after 59in male;as for HDL-C,it reduced with age,and then increased with age after 69in male;in female,it was higher in 30-39-year group than 40-49-year,and then declined with age.The levels of TC,TG and LDL-C in brainworker was higher than that in manual worker, and that of HDL-C was lower,the difference being significant（t=-4.794-3.416,P0.05）. Conclusion The incidence of coronary heart disease in Qingdao raking first in China may be associated with the following factors：hyperlipemia,overweight,obesity,high working pressure and lack of exercise.More close attention of prevention and cure of hyperlipemia should be paid to young and middle-age and intellectual-work group.

关 键 词：血脂异常 性别因素 年龄因素 职业 人体质量指数 青岛 

分 类 号：R195[医药卫生—卫生统计学]