摘要
目的 了解河北省2型糖尿病(T2DM)患者血脂异常的患病现状及影响因素。方法 利用河北省糖尿病并发症研究数据,分析4个区县1 844例≥18岁T2DM患者血脂异常的患病情况,采用多因素Logistic回归分析模型探讨T2DM患者血脂异常患病的相关影响因素。结果 1 844例T2DM患者中,1 112例T2DM患者血脂异常,血脂异常患病率为60.7%。TC异常、TG异常、HDL-C异常和LDL-C异常患病率分别是26.5%、8.3%、25.4%和9.8%。多因素Logistic回归模型分析结果显示,城市糖尿病患者(OR=0.766,95%CI:0.621~0.944,P<0.001)血脂异常患病率较低,中心型肥胖(OR=15.476,95%CI:11.111~21.556,P<0.001)、高血压(OR=1.543,95%CI:1.244~1.914,P<0.001)人群血脂异常患病风险较高。结论 河北省部分地区T2DM患者血脂异常患病率较高,T2DM患者应重点关注血脂水平。
Objective To understand the current prevalence and influencing factors of dyslipidemia in patients with type 2 diabetes mellitus(T2DM) in Hebei Province.Methods Using data from the Hebei Diabetes Complications Study,we analyzed the prevalence of dyslipidemia in 1,844 T2DM patients aged 18 years and older in four districts and counties in Hebei Province,and a multifactorial logistic regression analysis model was performed to explore the factors associated with the prevalence of dyslipidemia in T2DM patients.Results Among 1,844 T2DM patients,the prevalence of dyslipidemia was 60.7%(1,112/1,844).The abnormal prevalence of total cholesterol(TC),triglyceride(TG),high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol(LDL-C) were 26.5%,8.3%,25.4% and 9.8%,respectively.The results of multifactorial logistic regression model analysis showed that the prevalence of dyslipidemia was significantly lower in urban diabetic patients(OR=0.766,95% CI:0.621-0.944,P<0.001),and the abnormal prevalence of central obesity(OR=15.476,95% CI:11.111-21.556,P<0.001),hypertension(OR= 1.543,95% CI:1.244-1.914,P<0.001) were at higher risk of dyslipidemia.Conclusion The prevalence of dyslipidemia is significantly higher in patients with T2DM in some areas of Hebei province,and patients with T2DM should focus on lipid levels.
作者
曹亚景
赵晶晶
李玫
郭甜甜
唐丽娟
岳福娟
刘晓丽
CAO Yajing;ZHAO Jingjing;LI Mei(Chronic Non-communicable Disease Prevention and Control Institute,Hebei Province Center for Disease Prevention and Control,Hebei,Shijiazhuang 050021,China)
出处
《河北医药》
CAS
2024年第15期2373-2378,共6页
Hebei Medical Journal
基金
河北省医学科学研究课题计划(编号:20220790)。
关键词
型糖尿病
血脂异常
流行状况
影响因素
type 2 diabetes mellitus
dyslipidemia
prevalence
influencing factors
