南充市顺庆区47898名城区居民血脂水平及影响因素调查  

Investigation of the influencing factors of blood lipid in 47898 residents in Shunqing District of Nanchong

作　　者：刘开翔 赵玉章 冯杰 李欢 郑在琼 谢席胜 LIU Kaixiang;ZHAO Yuzhang;FENG Jie;LI Huan;ZHENG Zaiqiong;XIE Xisheng(Department of Nephrology, Nanchong Central Hospital, The Second Clinical Medical Institution of North Sichuan Medical College, Nanchong 637000, Sichuan, China;Department of Nephrology, The Third People’s Hospital of Chengdu, Chengdu 610031, China;Working Group of Hypertension, Dyslipidemia, Type 2 diabetes, Community Management Project in Nanchong Central Hospital, Nanchong 637000, Sichuan, China)

机构地区：[1]南充市中心医院·川北医学院第二临床医学院肾内科,四川南充637000 [2]成都市第三人民医院肾内科,四川成都610031 [3]南充市中心医院高血压、血脂异常、2型糖尿病社区综合管理项目工作小组办公室,四川南充637000

出　　处：《西部医学》2020年第11期1658-1663,共6页Medical Journal of West China

基　　金：国家自然科学基金(81170667);四川省卫生健康委员会科研课题(普及应用项目)(19PJ060);“默沙东制药有限公司-南充市中心医院高血压、血脂异常、2型糖尿病社区综合管理项目”资金资助(20100167)。

摘　　要：目的调查2014年~2015年南充市顺庆区城区内45岁及以上人群血脂水平,并对相关影响因素进行分析。方法分别于2014年及2015年整群抽取23598名及24300名45岁及以上居民,通过问卷调查、体检、生化检查及膳食调查方式进行数据收集,同步进行慢病健康管理。结果2014年、2015年血脂异常检出率分别为45.7%、29.4%,知晓率为7.2%、11.0%,治疗率为2.3%、4.3%。2014年的单因素分析显示,血脂异常与性别、文化程度、吸烟史、饮酒史、血脂异常家族史、高血压、糖尿病、锻炼、体重指数等相关;logistic分析结果显示,性别、文化程度、吸烟史、血脂异常家族史、高血压、糖尿病、锻炼、体重指数等是血脂异常的独立相关因素。2015年的单因素分析调查显示,血脂异常与性别、文化程度、高血压、糖尿病、体重指数等相关;logistic分析结果显示,性别、文化程度、高血压、糖尿病、冠心病、动物油食用、体重指数等是血脂异常的独立相关因素。结论南充市顺庆区城区内45岁及以上人群血脂异常知晓率、治疗率和控制率仍处于较低水平。性别、文化程度、吸烟史、血脂异常家族史、高血压、糖尿病、体重指数等是南充地区血脂异常的独立相关因素。血脂健康管理有效但需要进一步细化与加强。Objective To investigate and analyze the distribution of dyslipidemia and its influencing factors before and after the management of chronic diseases in 2014 and 2015 in Shunqing District,Nanchong.Methods Totally 23598 and 24300 residents aged 45 and over were recruited from the Shunqing District of Nanchong City in 2014 and 2015.Data was collected through questionnaire,physical examination,biochemical examination and dietary survey,and the health management of chronic disease was carried out simultaneously.Statistical analysis was performed using chi-square,t-test,variance analysis,and logistic regression analysis.Results The prevalence of dyslipidemia were 45.7%vs 29.4%in 2014 and 2015,respectively.The awareness rates were 7.2%vs 11.0%and the treatment rates were 2.3%vs 4.3%,respectively.Univariate analysis in 2014 showed that dyslipidemia was associated with gender,education,smoking,drinking,family history of dyslipidemia,hypertension,diabetes mellitus,exercise,body mass index and so on.Logistic analysis in 2014 showed that gender,educational level,smoking,family history of dyslipidemia,hypertension,diabetes mellitus,exercise and body mass index were independent factors of dyslipidemia.Univariate analysis in 2015 showed that dyslipidemia was associated with gender,educational level,hypertension,diabetes mellitus and body mass index.Logistic analysis in 2015 showed that gender,educational level,hypertension,diabetes mellitus,coronary heart disease,animal oil consumption,body mass index and other independent factors were related to dyslipidemia.Conclusion The dyslipidemia situation of the population aged 45 and over in Nanchong is still grim.Gender,education level,smoking history,dyslipidemia family history,hypertension,diabetes mellitus,body mass index are independent related factors of dyslipidemia in Nanchong city.The health management of blood lipid in Nanchong area is effective but needs further refinement.

关 键 词：血脂异常 中老年 知晓率 治疗率 控制率 慢病健康管理 

分 类 号：R589.2[医药卫生—内分泌]