安徽省成年人群血脂异常特征的流行病学调查分析  

Investigation analysis on epidemiologic characteristics of dyslipidemia among Anhui adults

作　　者：吴庆生[1] 金少华[1] 刘志荣[1] 叶林[1] 王安莲[1] 徐伟[1] 

机构地区：[1]安徽省疾病预防控制中心,安徽合肥230601

出　　处：《安徽预防医学杂志》2015年第2期82-85,共4页Anhui Journal of Preventive Medicine

摘　　要：目的了解安徽省成年人群血脂异常特征。方法以多阶段分层整群随机抽样方法,抽样安徽省24个乡镇（街道）,72个村（居委会）地区3 600户居民,每户随机抽样调查18岁以上居民1人。采用问卷调查和医学体检,对每一名被调查者进行身高、体重、血压等测量,并采集空腹及餐后2h静脉血进行血糖、总胆固醇（TC）、甘油三酯（TG）、低密度脂蛋白胆固醇（LDL-C）、高密度脂蛋白胆固醇（HDL-C）检测。结果成年人群血脂TC、TG、HDL-C、LDL-C异常患病率分别为：4.0%、11.6%、27.4%、1.9%。男性TG、HDL-C异常患病率（13.8%、31.4%）高于女性（9.9%、24.2%）（P〈0.01,OR值分别为1.458、1.447）。18~59岁年龄段人群血脂TG、HDL-C异常患病率呈上升趋势。BMI≥24.0 kg/m2、高血压、糖尿病人群中合并高TG血症者分别占18.5%、15.7%、21.1%,人群高TG血症与超重、高血压、糖尿病相关OR值分别达到3.247、2.029、2.438。结论安徽省成年人群血脂异常以高TG血症、低HDL-C血症为主要特点,人群高TG血症与超重、高血压、糖尿病相关。应引导大众科学健康饮食、控制体重、健康生活方式,以有效控制人群血脂异常的流行。Objective To understand the characteristics of dyslipidemia among Anhui adults. Methods Questionnaire and physical examination were performed, height, weight, blood pressure and levels of blood sugar, total cholesterol （TC ） , triglyceride （TG） , low density lipoprotein- cholesterol （LDL- C） , and high density lipoprotein- cholesterol （HDL- C ） were determined in fasting serum for 3600 adult subjects who were selected by multi - stage stratified cluster random sam- piing from 3600 households （ one subject randomly selected from each household } from 24 towns and 72 villages in Anhui province. Results Prevalence of abnormal TC, TG, HDL - C, and LDL - C levels among Anhui adults were 4.0%, 11. 6%, 27.4% and 1.9% , respectively. Prevalence of abnormal TG and HDL - C levels was higher in males than females （ P 〈 0.01. The odd ratios{ OR} were 1. 458 and 1. 447, respectively. ）. Prevalence of abnormal TG and HDL -C levels a- mong adults between 18 and 59 years was rising over years. Prevalence of high blood TG was 18.5%, 15.7%, and 21. 1%, respectively, among subjects with BMI t〉24.0 kg/n~, with hypertension, and with diabetes. The odd ratios （ OR ） be- tween high blood TG and overweight, hypertension, and diabetes were 3. 247, 2.029 and 2. 438, respectively. Conclusion Hypertriglyceridemia and low blood HDL - C are two major types of dyslipidemia in Anhui adults. High blood TG is re- lated to overweight , hypertension, and diabetes. Healthy diet, weight control, and healthy life style should be promoted for the control and prevention of dyslipidemia.

关 键 词：成年人 血脂异常 调查 

分 类 号：R544[医药卫生—心血管疾病]