2013—2018年河北省成人血脂异常流行特征  

Epidemiological characteristics of adult dyslipidemia in Hebei Province from 2013 to 2018

作　　者：赵晶晶 曹亚景[1] 蒋东升[1] 郭甜甜 刘玉环[1] 岳福娟 张帆[1] 李玫 刘晓丽[1] ZHAO Jingjing;CAO Yajing;JIANG Dongsheng;GUO Tiantian;LIU Yuhuan;YUE Fujuan;ZHANG Fan;LI Mei;LIU Xiaoli(Department of Chronic Non-communicable Diseases Prevention and Control,Hebei Province Center for Disease Prevention and Control,Shijiazhuang,Hebei Province 050021,China)

机构地区：[1]河北省疾病预防控制中心慢性非传染性疾病防治所,河北省石家庄050021

出　　处：《中国慢性病预防与控制》2025年第2期122-125,134,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：河北省医学科学研究课题计划(20220790)。

摘　　要：目的了解2013—2018年河北省成人血脂异常的流行情况,为预防和控制成人血脂异常提供理论依据。方法数据来源于河北省开展的2013年、2015年和2018年中国慢性病及其危险因素监测项目。2013年、2015年和2018年采用多阶段分层整群随机抽样方法分别抽取河北省13个监测点≥18岁常住居民7715、7790和7716人作为研究对象。采用中国疾病预防控制中心统一制定的慢性病及其危险因素监测调查表进行问卷调查并测定血脂4项。采用SPSS 26.0软件对数据进行复杂加权调整,并进行Rao-Scottχ^(2)检验和χ^(2)趋势检验。结果2013—2018年河北省成年居民血脂异常年均患病率为38.51%,其中2013年、2015年和2018年血脂异常患病率分别为39.10%、40.05%和36.21%,变化趋势无统计学意义(P>0.05)。2013—2018年河北省成年居民低高密度脂蛋白胆固醇(HDL-C)血症、高甘油三酯(TG)血症、高低密度脂蛋白胆固醇(LDL-C)血症和高总胆固醇(TC)血症的年均患病率分别为24.57%、14.93%、6.50%和5.77%。不同类型血脂异常中,仅发现高LDL-C血症患病率随年份增加呈下降趋势(P<0.01)。河北省2013—2018年男性血脂异常年均患病率(44.75%)高于女性(32.49%);<60岁人群中男性患病率(41.85%)高于女性(27.89%),≥60岁人群中女性患病率(46.40%)高于男性(39.95%);城镇居民患病率(41.87%)高于农村居民(35.83%),差异均有统计学意义(P<0.01)。2013—2018年血脂异常年均患病率随年龄增长整体呈上升趋势(χ^(2)_(趋势)=149.94,P<0.01)。结论河北省成年人血脂异常患病率较高,以低HDL-C血症和高TG血症为主要特点。中老年人群尤其是中老年女性和城市居民仍是血脂异常的重点防控对象。Objective To understand the prevalence of adult dyslipidemia in Hebei Province from 2013 to 2018,and provide theoretical basis for the prevention and control of adult dyslipidemia.Methods The data were from the China Chronic Disease and its Risk Factors Monitoring Project conducted in Hebei Province in 2013,2015 and 2018.In 2013,2015 and 2018,the multi-stage stratified cluster random sampling method was used to select 7715,7790 and 7716 residents(≥18 years old)from 13 monitoring points in Hebei Province as the subjects,respectively.The investigation was performed with the chronic disease and its risk factor monitoring questionnaire developed by the Chinese Center for Disease Control and Prevention and four blood lipid indexes.SPSS 26.0 software was used to perform the complex weighted adjustments on the data,and Rao Scottχ^(2) test andχ^(2) trend test were used to analyze the data.Results From 2013 to 2018,the average annual morbidity of dyslipidemia in adult residents of Hebei Province was 38.51%,of which the morbidity rates of dyslipidemia in 2013,2015 and 2018 were 39.10%,40.05%and 36.21%,respectively without significant change trend(P>0.05).From 2013 to 2018,the average annual morbidity rates of low highdensity lipoproteinemia,high triglyceridemia,high low-density lipoproteinemia and hypercholesteremia in Hebei Province were 24.57%,14.93%,6.50%and 5.77%,respectively.Among different types of dyslipidemia,only the morbidity of high low-density lipoproteinemia was found to decrease with the increase of year(P<0.01).From 2013 to 2018,the average annual morbidity(44.75%)of dyslipidemia in males was higher than that(32.49%)in females.The morbidity(41.85%)of people(<60 years old)in males was significantly higher than that(27.89%)in females,and the morbidity(46.40%)of people(≥60 years old)in female was significantly higher than that(39.95%)in males;the morbidity(41.87%)of urban residents was significantly higher than that(35.83%)of rural residents,P<0.01.From 2013 to 2018,the average annual morbidity of dyslipi

关 键 词：成人 血脂异常 监测 

分 类 号：R589.2[医药卫生—内分泌]