金堂县农村居民血脂异常分布特征及相关因素分析  

Analysis of the distribution characteristics and relevant factors in dyslipidemia among the rural residents in Jintang County

作　　者：周建[1,2] 杨婷[1] 段丽[1] 陈杨[1] 杨艳芳[1] 

机构地区：[1]四川大学华西公共卫生学院(华西第四医院),四川成都610041 [2]金堂县卫生和计划生育局,四川成都610400

出　　处：《现代预防医学》2017年第14期2560-2563,共4页Modern Preventive Medicine

摘　　要：目的分析金堂县农村居民血脂异常患病率及其相关因素,为该县综合防控血脂异常及相关疾病提供科学依据。方法采用现况研究设计,多阶段整群随机抽取该县854名成人,通过问卷调查、体检和实验室检测等方法开展调查。调查数据采用统一的Epi Data 3.1数据库双录入,用SPSS 23.0软件进行t检验、χ~2检验、Logistic回归等统计分析。结果该县农村居民血脂异常、高胆固醇血症、高甘油三酯血症和低高密度脂蛋白血症患病率分别为26.46%、9.10%、8.62%、14.08%,标化患病率分别为24.37%、8.65%、7.99%、13.45%;血清中高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC)、甘油三酯(TG)水平分别为1.36 mmol/L、0.66 mmol/L、4.91 mmol/L、1.33 mmol/L。分析显示,男性(OR=3.00)、BMI≥25.0(即超重和肥胖,OR超重=1.25,OR肥胖=2.05)、高血糖(OR=1.86)、高血压(OR=1.57)、腰围超标(OR=3.55)是血脂异常的相关因素。结论金堂县农村居民血脂异常患病率较低,但高TC血症标化患病率和血清TC水平较高,男性患病率高于女性;男性、超重和肥胖、高血压、高血糖是血脂异常的影响因素,当地政府和卫生行政部门应予以重视并及时采取综合防控措施。Objective The study analyzed the prevalence and relevant factors of dyslipidemia among rural residents in Jintang County, aiming to provide a scientific reference for the comprehensive prevention measures for dyslipidemia and related diseases. Methods A total of 854 adults in this county were randomly selected by adopting prevalence study design. The questionnaire survey, physical examination, and laboratory testingwere adopted to launch investigation. The unified EpiData 3.1 database was applied to the survey data for double type-in, and t test, test, and Logisticregression analysis were conducted by SPSS 23.0. Results The prevalence of dyslipidemia, hypercholesteremia, hypertriglyceridemia, and low lipoproteinaemia were 26.46%, 9.10%, 8.62%, and 14.08%, respectively. The standardized prevalence rates were 24.37%, 8.65%, 7.99%, and 13.45%, respectively. The high-density lipoprotein-cholesterol （HDL-C）, low density lipoprotein- cholesterol （LDL-C）, total cholesterol （TC）, and triglyceride （TG） were 1.36mmol/L, 0.66mmol/L, 4.91mmol/L, and 1.33mmol/ L, respectively. Logistic regression showed that male（OR=3.00）, BMI≥25.0 （overweight =1.25, obesity=2.05）, hyperglycemia （OR =1.86）, hypertension （OR =1.57）, over-waistline （OR =3.55） were the relevant factors for dyslipidemia. Conclusion Theincidence of dyslipidemia among rural residents of Jintang County is low, but the standard incidence of high TC HLP and level of serum TC arehigh. The incidence of male is higher than that of female. Male, overweight and obesity, hypertension, hyperglycemiaare influencing factors for dyslipidemia. Local government and sanitation administrative department should pay attention and adopt comprehensive prevention and control measures in time.

关 键 词：血脂异常 流行情况 危险因素 

分 类 号：R195-4[医药卫生—卫生统计学]