CAJ | 학술논문

目的：了解社区高血压患者血脂代谢状况。方法随机选择青浦区徐泾镇4个居委会295例高血压患者作为研究对象，对其空腹血脂，包括血清总胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白胆固醇（HDL-C）、低密度脂蛋白胆固醇（LDL-C）进行检查并进行统计学分析。结果295例高血压患者中，TC升高占9.8%，TG升高占7.8%，LDL-C升高占7.8%，HDL-C下降占9.5%；血脂边缘异常的患者占很大比例，其中TC边缘升高25.8%，TG边缘升高11.9%，LDL-C边缘升高占22.0%。不同性别高血压患者中，血脂异常率比较，差异有统计学意义（P＜0.05）。结论高血压患者中血脂升高所占比例相对较高，脂代谢边缘升高的患者比例更高，因此，我们在预防心脑血管疾病强调降压的同时必须重视血脂管理。
목적：료해사구고혈압환자혈지대사상황。방법수궤선택청포구서경진4개거위회295례고혈압환자작위연구대상，대기공복혈지，포괄혈청총담고순（TC）、감유삼지（TG）、고밀도지단백담고순（HDL-C）、저밀도지단백담고순（LDL-C）진행검사병진행통계학분석。결과295례고혈압환자중，TC승고점9.8%，TG승고점7.8%，LDL-C승고점7.8%，HDL-C하강점9.5%；혈지변연이상적환자점흔대비례，기중TC변연승고25.8%，TG변연승고11.9%，LDL-C변연승고점22.0%。불동성별고혈압환자중，혈지이상솔비교，차이유통계학의의（P＜0.05）。결론고혈압환자중혈지승고소점비례상대교고，지대사변연승고적환자비례경고，인차，아문재예방심뇌혈관질병강조강압적동시필수중시혈지관리。
Objective To understand the status of blood lipid metabolism in patients with primary hypertension in community. Methods Randomly selected 295 primary hypertensive patients in Qingpu District Xujing Town 4 neighborhood as study objects,the fasting blood,included serum total cholesterol(TC),triglyceride(TG),high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C) were examined and statistically analyzed. Results Among 295 cases of primary hypertensive patients,the high TC accounted 9.8%,the high TG accounted 7.8%,the high LDL-C accounted 7.8%,the low HDL-C accounted 9.5%.And the abnormal blood lipids accounted for a large proportion in patients with hypertension patients.The borderline high TC accounted 25.8%,the borderline high TG accounted 11.9%,the borderline high LDL-C accounted 22%. The dyslipidemia rate in different gender'primary hypertensive patients had statistically significant difference(P<0.05). Conclusion The high blood lipids in patients with primary hypertension have a relatively high proportion,especially borderline higher blood lipids metabolism accout more proportion.So,we must pay attention to manage lipid at the same time that lower blood pressure and prevent cardiovascular and cerebrovascular diseases.