摘要
目的:了解温州市居民血脂异常的流行现状及影响因素,以制定合理的预防措施。方法:采用多阶段随机整群抽样,抽取温州市3495名35岁以上常住户籍居民作问卷调查、体格检查(身高、体重、血压的测量)及实验室检测(总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、甘油三酯和血糖),对其进行统计学分析。结果:温州市35岁以上居民血脂水平(M±Q,mmol/L):总胆固醇(5.56±1.39)、高密度脂蛋白胆固醇(1.64±0.47)、低密度脂蛋白胆固醇(2.83±0.69)、甘油三酯(1.49±1.11),异常患病率为68.9%,城市(72.6%)高于农村(66.2%),城市主要是混合型高脂血症,农村混合型高脂血症和高胆固醇血症并重。血脂异常低危、中危和高危患病率为33.7%、9.1%和8.6%。肥胖、高血压、糖尿病、生活工作紧张程度、常吃肥肉和常饮啤酒是血脂异常的危险因子,体力活动、常饮奶制品、常吃豆制品、蔬菜和腌制品是保护因子。结论:温州市居民血脂平均水平和异常患病率均处于较高水平,血脂异常呈年轻化趋势,城市和农村的流行特征有差异。血脂异常的影响因子除年龄外都可控制,应在全市制定和实施相关的综合干预措施。
Objective：Investigate the prevalence and influence factors of dyslipidemia of residents in Wenzhou city for preparing reasonable precautions.Methods： Make multi-stage random cluster sampling,and sample 3495 permanent residents over 35 years old in Wenzhou city for questionnaire,physical examination（measurement of height,weight and blood pressure） and laboratory testing（total cholesterol,high density lipoprotein cholesterol,low density lipoprotein cholesterol,triglycerides and blood sugar）,and make statistical analysis on them.Results： For blood lipid levels of residents over 35 years old in Wenzhou city（M±Q,mmol/L）,total cholesterol was 5.56±1.39,high density lipoprotein cholesterol was 1.64±0.47,low density lipoprotein cholesterol was 2.83±0.69,triglyceride was1.49±1.11.Abnormal morbidity rate was 68.9%,and the morbidity rate of cities（72.6%） was higher than that of counties（66.2%）.It was mainly mixed hyperlipidemia in cities and mainly combination of mixed hyperlipidemia and hypercholesterolemia in countries.Low-risk,medium-risk and high-risk morbidity rates of dyslipidemia was respectively 33.7%,9.1% and 8.6%.Obesity,hypertension,diabetes,living and working tension,constant eating fat and constant drinking beer were risk factors of dyslipidemia.Physical activity,constant drinking milk products,constant eating bean products,vegetables and pickled products were protection factors.Conclusion： Both average blood lipid level and abnormal morbidity rate of residents in Wenzhou city were in higher levels,and dyslipidemia showed a younger trend,and epidemiological characteristics between cities and countries were different.Except age,influence factors of dyslipidemia could be controlled.Comprehensive interventions should be prepared and implemented in the whole city.
出处
《中国卫生检验杂志》
CAS
2011年第1期201-205,共5页
Chinese Journal of Health Laboratory Technology
基金
浙江省温州市科技计划项目(Y20080158)
关键词
血脂异常
肥胖
高血压
糖尿病
危险分层
Dyslipidemia
Obesity
Hypertension
Diabetes
Risk classification
