广西4个少数民族成年女性血脂现状的比较  

Comparison of blood lipids status among adult women of four minorities in Guangxi

作　　者：周璇[1] 邓琼英[1] 玉洪荣[1] 周丽宁[1] 龚继春[1] 龚建古[1] 徐林[1] 刘鹏[1] 

机构地区：[1]广西医科大学人体解剖学教研室,广西南宁530021

出　　处：《中国妇幼保健》2015年第34期6069-6073,共5页Maternal and Child Health Care of China

基　　金：国家自然科学基金资助项目〔31160222〕

摘　　要：目的 调查广西毛南族、仫佬族、瑶族、苗族4个少数民族成年女性的血脂现况,探讨血脂水平及血脂异常患病率在少数民族间是否存在差异。方法 随机抽取广西4个少数民族女性860人（毛南族200人、仫佬族200人、苗族244人、瑶族216人）,年龄25-85岁,追溯其3代均为同一民族,采集血样,检测总胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白胆固醇（HDL-C）和低密度脂蛋白胆固醇（LDL-C）。结果 1在4项血脂中,TC、TG和HDL-C血脂水平均存在显著的民族差异（P〈0.01）,其中TC、TG最高的为瑶族,HDL-C和LDL-C最高的为仫佬族。2 4个民族的TC、TG和LDL-C水平总体随年龄的增加而逐渐上升,一般在50-59岁年龄段达到最高峰,而HDL-C水平呈逐渐下降的趋势。3毛南族、仫佬族、苗族、瑶族总的血脂异常检出率分别为：27.5%、25.0%、35.2%、60.6%,瑶族的检出率最高;此外,高TC血症、高TG血症和低HDL-C血症检出率最高的也是瑶族,而高LDL-C血症检出率最高的是仫佬族,各种类型的血脂异常检出率均具有显著的民族差异（P〈0.01）。结论 广西毛南族、仫佬族、苗族和瑶族女性的血脂水平、血脂异常检出率及各种类型的高脂血症均存在明显的差异,可能与各民族的遗传背景和饮食习惯有关。Objective To investigate the blood lipids status of adult women of four minorities, including Maonan, Mulao, Yao, and Miao in Guangxi, explore the differences of blood lipids levels and prevalence rates of dyslipidemia among these minorities. Methods A total of 860 women aged 25-85 years old were randomly selected from Guangxi, including 200 Maonan women, 200 Mulao women, 244 Miao women, and 216 Yao women. The inclusion criterion for each minority was that a woman had both parents from the same minority. Blood samples were collected from all participants and total cholesterol （TC）, triglycefide （TG）, high-density lipoprotein cholesterol （HDL-C）, and low-density lipoprotein cholesterol （LDL-C） levels were detected. Results There were statistically significant differences in TC, TG, and HDL-C levels among different minorities （P〈0. 01 ） , TC and TG levels were the highest among Yao women, HDL- C and LDL-C were the highest among Mulao women. TC, TG, and LDL-C levels increased gradually with age among the four minorities, which peaked in 50-59-year-old group, HDL-C level decreased gradually with age. The detection rates of dyslipidemia in Maonan women, Mulao women, Miao women, and Yao women were 27.5%, 25.0%, 35.2%, and 60. 6%, respectively; the detection rate of dyslipidemia in Yao women was the highest; thus, the detection rates of hypercholesteremia, hypertriglyeeridemia, and low HDL-C in Yao women were the highest; the detection rate of high LDL-C in Yao women was the highest; there were statistically significant differences in detection rates of different kinds of dyslipidemia among different minorities （ P〈0. 01 ） . Conclusion There were significant differences in blood lipids levels, detection rate of dyslipidemia, and different kinds of dyslipidemia among Maonan women, Mulao women, Miao women, and Yao women in Guangxi, which may be related to genetic backgrounds and life styles of these minorities.

关 键 词：少数民族 血脂水平 血脂异常 民族差异 

分 类 号：R173[医药卫生—妇幼卫生保健]