CAJ | 학술논문

目的了解深圳市健康体检人群血脂水平的现状,为血脂异常防治工作提供科学依据.方法选择7 300例来我院特诊门诊进行高级体检的人群,采用酶法-终点法检测其空腹血脂水平并进行分析,比较血脂异常患病率的情况及不同年龄、性别间的血脂水平差别.结果 (1)血脂异常的总患病率为53.45％,男性为78.64％,女性为28.26％,男、女性别间血脂异常患病率差异有统计学意义(P ＜0.001)；TC、TG、LDL -C、HDL -C患病率分别为21.45％、37.01％、34.12％、14.32％,以31 ～40岁、41～50岁组患病率较高；(2)血总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL-C)、高密度脂蛋白(HDL- C)的总体水平分别为(5.26±0.81)、(1.86±1.72)、(3.04±0.57)、(1.06±0.20),男性的TC、TG、LDL -C水平高于女性,而女性的HDL -C水平则略高于男性；(3)不同性别及不同年龄组的血脂水平比较,有显著性差异(P ＜0.001).结论深圳市体检人群血脂异常人群主要分布在31 ～40岁、41～ 50岁组,应关注这一人群的宣传教育及干预,有针对性的采取有效措施,最大限度地预防心血管疾病的发生.
목적 료해심수시건강체검인군혈지수평적현상,위혈지이상방치공작제공과학의거.방법 선택7 300례래아원특진문진진행고급체검적인군,채용매법-종점법검측기공복혈지수평병진행분석,비교혈지이상환병솔적정황급불동년령、성별간적혈지수평차별.결과 (1)혈지이상적총환병솔위53.45％,남성위78.64％,녀성위28.26％,남、녀성별간혈지이상환병솔차이유통계학의의(P ＜0.001)；TC、TG、LDL -C、HDL -C환병솔분별위21.45％、37.01％、34.12％、14.32％,이31 ～40세、41～50세조환병솔교고；(2)혈총담고순(TC)、감유삼지(TG)、저밀도지단백(LDL-C)、고밀도지단백(HDL- C)적총체수평분별위(5.26±0.81)、(1.86±1.72)、(3.04±0.57)、(1.06±0.20),남성적TC、TG、LDL -C수평고우녀성,이녀성적HDL -C수평칙략고우남성；(3)불동성별급불동년령조적혈지수평비교,유현저성차이(P ＜0.001).결론심수시체검인군혈지이상인군주요분포재31 ～40세、41～ 50세조,응관주저일인군적선전교육급간예,유침대성적채취유효조시,최대한도지예방심혈관질병적발생.
Objective To understand the lipid levels of physical examination people in Shenzhen and provide an scientific basis for prevention of dyslipidemia.Methods A total of 7300 cases of high - level physical examination in our hospital were selected.The method of enzyme - end - points was used to check and analyze their fasting blood lipid level for the comparison of differences in the prevalence of dyslipidemia and blood lipid level between different age and sex.Results The total prevalence of dysliPidemia was 53.45％,it was 78.64％ for male,and 28.26％ for female,the prevalence of dyslipidemia between male and female was significantly in statistics (P ＜ 0.001 ) ; TC,TG,LDL - C,HDL - C prevalence was 21.45％,37.01％,34.12％,14.32％,and the prevalence was higher among the group of 31 ～40 years old and 41 ～ 50 years old; The overall level of total cholesterol (TC) in plasma,triglycerides ( TG),low density lipoprotein ( LDL - C),high density lipoprotein ( HDL - C) were (5.26 ± 0.81 ),( 1.86 ± 1.72 ),( 3.04 ± 0.57 ),( 1.06 ± 0.20),the TC,TG,LDL - C levels of male was higher than female,while the HDL - C level of female was slightly higher than male; There was different lipid levels between different gender and different age groups,and the difference was obvious (P ＜ 0.001 ).Conclusions The mainly population of dyslipidemia in Shenzhen is among group of 31 ～ 40 years old,and 41 ～ 50 years old,we should be concerned about public education and intervention in them,and take targeted and effective measures to maximize the prevention of cardiovascular diseases.