不同性别健康人群和亚健康人群主要生化指标的比较  

Comparison of main biochemical indicators between healthy and sub-healthy people and between different genders

作　　者：叶晓云[1] 袁婷[1] 黄树通 陈聪[1] 梁金明[1] Ye Xiaoyun;Yuan Ting;Huang Shutong;Chen Cong;Liang Jinming(Department of Clinical Laboratory,Central People's Hospital of Zhanjiang City,Zhanjiang 524037,China)

机构地区：[1]湛江中心人民医院检验科,524037

出　　处：《国际医药卫生导报》2019年第1期59-61,共3页International Medicine and Health Guidance News

基　　金：湛江市科技计划项目(2016A01027).

摘　　要：目的 研究男性、女性健康人群和亚健康人群各项生化指标的结果。方法 选择2017年1月至2018年1月在本院接受体检的健康人群和亚健康人群各1000名进行研究,均接受生化各项指标水平测定,比较不同性别人群的测定结果。结果 健康组男性各项生化指标(TC和HDL-C除外)均高于健康组女性(均P<0.05);亚健康组男性各项生化指标(TC、HDL-C和LDL-C除外)均高于亚健康组女性(均P<0.05)。亚健康组男性FPG、TG、TC、LDL-C、ALT、AST、GGT、UA分别为(6.34±0.82)mmol/L、(3.40±1.96)mmol/L、(5.13±1.02)mmol/L、(3.36±2.35)mmol/L、(20.15±3.26)U/L、(21.18±3.18)U/L、(25.31±1.19)U/L、(310.15±22.82)μmol/L,均高于健康组男性[分别为(4.93±0.50)mmol/L、(1.10±0.32)mmol/L、(4.70±0.75)mmol/L、(2.73±0.54)mmol/L、(34.75±4.18)U/L、(25.96±2.27)U/L、(46.52±3.30)U/L、(382.05±16.42)μmol/L],均P=0.000 0;亚健康组女性各项生化指标(Cr和HDL-C除外)均高于健康组女性(均P<0.05)。结论 男性、女性健康人群和亚健康人群生化指标测定结果存在较大差异,为了提高检测结果对于健康状况判断的准确性,应该按照不同性别、不同人群设定参考区间,不能完全依从厂商或者指南中的参考区间。Objective To study the results of various biochemical indicators in male and female healthy and sub-healthy people.Methods 1 000 healthy people and 1 000 sub-healthy ones who were examined at our hospital from January,2017 to February,2018 were selected,their biochemical indicators were detected.The results of different gender groups were compared.Results In the healthy group,all the biochemical indicators but TC and HDL-C were higher in the male than in the female(all P<0.05).In the sub-healthy group,all the biochemical indicators but TC,HDL-C,and LDL-C were higher in the male than in the female(all P<0.05).The FPG,TG,TC,LDL-C,ALT,AST,GGT,and UA were(6.34±0.82)mmol/L,(3.40±1.96)mmol/L,(5.13±1.02)mmol/L,(3.36±2.35)mmol/L,(20.15±3.26)U/L,(21.18±3.18)U/L,(25.31±1.19)U/L,and(310.15±22.82)μmol/L in the male of the sub-health group,and were(4.93±0.50)mmol/L,(1.10±0.32)mmol/L,(4.70±0.75)mmol/L,(2.73±0.54)mmol/L,(34.75±4.18)U/L,(25.96±2.27)U/L,(46.52±3.30)U/L,and(382.05±16.42)μmol/L in the male of the healthy group(all P=0.0000).All the biochemical indicators but Cr and HDL-Cof were higher in the female of the sub-health group than in female of the healthy group(all P<0.05).Conclusions There are markedly differences in the results of biochemical indicators between the male and female in both healthy and sub-healthy people.In order to improve the accuracy of the test results for health status,reference intervals should be set according to different genders and different people groups;and the reference intervals provided by manufacturers or guidelines can not be applied literally.

关 键 词：性别 健康人群 亚健康人群 生化指标 

分 类 号：R446.1[医药卫生—诊断学]