河南省范县农村居民血脂异常现况调查及影响因素分析  

The Cross-sectional Study of Dyslipidemia and Its Influencing Factors in A Rural Areas in a Country of Puyang

作　　者：张洪磊 孟庆浩 梁森[1] 段晓琦 谢勇 张玉华[1] 薛辉 赵俊君[1] Zhang Honglei;Meng Qinghao;Liang Sen;Duan Xiaoqi;Xie Yong;Zhang Yuhua;Xue Hui;Zhao Junjun(Puyang Center for Disease Control and Prevention,Puyang,Henan,457000,China;不详)

机构地区：[1]濮阳市疾病预防控制中心,河南濮阳457000 [2]范县疾病预防控制中心,河南范县457000

出　　处：《中国初级卫生保健》2025年第2期45-49,共5页Chinese Primary Health Care

摘　　要：目的:了解河南省濮阳市范县农村居民血脂异常患病率及其影响因素。方法:2022年8—11月,采用多阶段分层整群抽样法、与人口规模成比例(PPS)的概率抽样法、简单随机抽样法,抽取濮阳市范县2436名农村居民进行面对面问卷调查、体格检查和生化指标检测。以2020年第七次全国人口普查数据为标准人口对患病率进行标化。结果:濮阳市范县农村居民血脂异常的患病率为30.95%,标化患病率为31.19%。男性患病率(34.56%)高于女性(28.08%),差异有统计学意义(χ^(2)=11.855,P<0.01)。高总胆固醇(TC)血症、高甘油三酯(TG)血症、高低密度脂蛋白胆固醇(LDL-C)血症和低高密度脂蛋白胆固醇(HDL-C)血症者血脂异常患病率分别为5.20%、10.55%、2.65%和21.92%。logistic回归分析结果显示,女性(OR=0.655,95%CI为0.523~0.820)、未婚(丧偶/离婚/分居)(OR=0.724,95%CI为0.532~0.987)、蔬菜水果摄入≥500 g/d(OR=0.825,95%CI为0.684~0.995)是血脂异常发生的保护因素,超重(OR=1.301,95%CI为1.063~1.592)、肥胖(OR=1.869,95%CI为1.455~2.400)及糖尿病(OR=1.557,95%CI为1.146~2.115)是血脂异常的危险因素。结论:2022年濮阳市范县农村居民血脂异常患病率较高,应加强监测和控制危险因素,降低居民心脑血管疾病的发生率。OBJECTIVE To study the epidemiology of dyslipidemia and its influencing factors in rural areas in Fanxian County of Puyang.METHODS A total of 2436 rural residents were collected in Fanxian County of Puyang,using multi-stage stratified cluster sampling.A standardized questionnaire was answered by each subjects through face-to-face.Physical examination data and blood samples were collected form each subjects.The prevalence rate was standardized using the data on the population distribution in China in 2020.RESULTS The prevalence of dyslipidemia was 30.95%,the corresponding standardized prevalence was 31.19%.The prevalence is higher in males than in females(34.56%VS 28.08%,χ^(2)=11.855,P<0.01).The prevalence of hypercholesterolemia,hypertriglyceridemia,high LDL-C,and low HDL-C were 5.20%,10.55%,2.65%and 21.92%,respectively.Multivariate logistic regression analysis showed that female(OR=0.655,95%CI:0.523~0.820),unmarried(widowed/divorced/separated)(OR=0.724,95%CI:0.532~0.987),vegetable and fruit intake(≥500 g/d)(OR=0.825,95%CI:0.684~0.995)were negatively associated with dyslipidemia,while increasing age(OR=1.316,95%CI:1.002~1.732),overweight(OR=1.301,95%CI:1.063~1.592),obesity(OR=1.869,95%CI:1.455~2.400),and diabetes(OR=1.557,95%CI:1.146~2.115)were all significantly associated with an increased risk of dyslipidemia.CONCLUSION The prevalence of dyslipidemia was high in rural areas of Fanxian County in Puyang.Monitoring and control of risk factors should be strengthened to reduce the incidence of cardiovascular and cerebrovascular disease.

关 键 词：农村居民 血脂异常 患病率 影响因素 

分 类 号：R589.2[医药卫生—内分泌]