2006～2014年西北地区某公司职工血脂异常分布及影响因素分析  

Analysis on the distribution and influencing factors of dyslipidemia among the employees in the Northwest,2006-2014

作　　者：梁茹[1] 蔡航[2] 金辉[3] 马世伟[4] 徐树清 张柳中 

机构地区：[1]上海铁路局南京疾病预防控制所,江苏南京210042 [2]兰州铁路局疾病预防控制所,甘肃兰州730000 [3]东南大学公共卫生学院,江苏南京210009 [4]中国铁道科学研究院节能环保劳卫研究所,北京100081 [5]青藏铁路公司劳卫部,青海西宁810007

出　　处：《预防医学论坛》2016年第8期561-564,共4页Preventive Medicine Tribune

基　　金：中国铁路总公司科技研究开发计划课题2014Z005-B

摘　　要：目的了解西北地区某职工人群的血脂异常现状及其影响因素。方法收集某公司2006~2014年体检资料,分析职工血脂异常情况。结果共收集12 664名职工体检资料。男性血脂异常率明显高于女性（P〈0.01）,且随年龄的增长有上升趋势。血脂异常主要以总胆固醇（TC）、甘油三酯（TG）、低密度脂蛋白胆固醇（LDL-C）异常增高为主,检出率依次为5.77%、25.63%、5.52%。高血压、空腹血糖、体质指数（BMI）在不同分级的血脂异常水平有统计学差异（P〈0.01）,但高密度脂蛋白胆固醇（HDL-C）与高血压分级不相关（P〉0.05）。非条件Logistic回归分析发现,BMI、年龄和空腹血糖的增高是TC、TG、LDL-C的危险因素,男性或汉族人群中TG偏低;而年龄和BMI的偏低是HDL-C保护因素,已婚或女性人群中HDL-C偏低。结论采取多种健康干预措施,降低血脂异常的检出率,是控制高血压、糖尿病等与之密切相关疾病发病率的关键措施。Objective To understand the current status of dyslipidemia and influencing factors among the employees in the Northwest. Methods Data were collected on the physical examination of a company during 2006-2014 tp analyze their dyslipidemia. Results Data were collected among 12 664 employees.The male＇s dyslipidemia rate was much higher than that of the female＇s（P 0.01）,and it tended to increase with age.The common dyslipidemia were abnormally high of cholesterol（TC）,triglyceride（TG）,low density lipoprotein cholesterol（LDL-C）,whose detection rate was 5.77%,25.63% and 5.52% respectively.There were significant differences between hypertension,age,fasting plasma glucose（FPG）and the level of dyslipidemia classifications（P 0.01）.However,it was irrelevant between the high-density lipoprotein cholesterol（HDL-C）and hypertension classification（P 0.05）.Unconditional logistic regression analysis showed that the risk factors for TC,TG,LDL-C were the increase of BMI,age and FPG.Male or Han population were in lower TG.The protective factors for HDL-C were the lower of age and BMI.The HDL-C were lower in the married or female population. Conclusion It is necessary to take various health interventions to reduce the detection rate of dyslipidemia,which are the key measures to control the incidence rates which are closely related to hypertension,diabetes and other diseases.

关 键 词：血脂异常 检出率 影响因素 

分 类 号：R151.2[医药卫生—营养与食品卫生学]