云南省玉溪市健康成人血脂水平调查  

Investigation on blood lipid level of healthy adults in Yuxi City of Yunnan Province

作　　者：张兴锋[1] 罗泳 金晓 刘海萍 ZHANG Xingfeng;LUO Yong;JIN Xiao;LIU Haiping(Department of Transfusion Medicine,Yuxi People's Hospital/Sixth Affiliated Hospital of Kunming Medical University,Yuxi Yunnan 653100,China)

机构地区：[1]玉溪市人民医院/昆明医科大学第六附属医院输血医学科,云南玉溪653100

出　　处：《云南医药》2024年第4期74-77,共4页Medicine and Pharmacy of Yunnan

摘　　要：目的调查玉溪市表观健康成人血脂水平的分布情况并分析其危险因素。方法从玉溪市人民医院体检中心选取健康体检人群951名(男429名,女522名),年龄18~79岁,排除心脑血管疾病、糖尿病、使用降脂药等因素的影响,通过全自动生化分析仪检测TC、TG、HDL-C、LDL-C、ApoA1和ApoB的浓度,将检测结果按性别、年龄及各种危险因素分组后进行统计学分析。正态分布2组数据比较采用t检验,多组间数据比较采用方差分析。结果女性TC、HDL-C、ApoA1水平显著高于男性,差异有统计学意义(P<0.05),而男性TG水平显著高于女性差异有统计学意义(P<0.05);随着年龄增长,TC、TG、LDL-C和ApoB水平显著增高,差异有统计学意义(P<0.05),60~69岁达高峰,70岁后水平下降。结论通过此研究获得玉溪市表观健康成人血脂水平的分布情况,为临床评估心脑血管疾病的风险,指导临床医师合理制定治疗方案提供了客观依据。Objective To investigate the distribution of blood lipid level in apparently healthy adults in Yuxi City and analyze its risk factors.Methods A total of 951 healthy people(429 males and 522 females)aged 18 to 79 years old were selected from the physical examination center of Yuxi People's Hospital.The influence of cardiovascular and cerebrovascular diseases,diabetes,the use of lipid-lowering drugs and other factors were excluded.The concentrations of TC,TG,HDL-C,LDL-C,ApoA1 and ApoB were detected by automatic biochemical analyzer,and the detection results were grouped according to gender,age and various risk factors for statistically analysis.T-test was used to compare the two groups of normal distribution data,and analysis of variance was used to compare multiple groups of data.Results The levels of TC,HDL-C and ApoA1 in females were significantly higher than those in male,with statistical significance(P<0.05),while the level of TG in male were significantly higher than that in female,with statistical significance(P<0.05);The levels of TC,TG,LDL-C and ApoB significantly increased with age,with statistical significance(P<0.05).The level reached its peak at 60-69 years old and decreased after 70 years old.Conclusions Through this study,we obtain the distribution of blood lipid levels in apparent healthy adults in Yuxi City,providing objective basis for clinical assessment of the risk of cardiovascular and cerebrovascular diseases and guiding clinical physicians to formulate reasonable treatment plans.

关 键 词：血脂水平 胆固醇 甘油三酯 危险因素 

分 类 号：R195.4[医药卫生—卫生统计学]