北京社区2型糖尿病患者血脂异常情况分析:北京社区糖尿病研究8
북경사구2형당뇨병환자혈지이상정황분석:북경사구당뇨병연구8
Prevalence of dyslipidemia in subjects with type 2 diabetes mellitus in Beijing urban communities:Beijing community diabetes study 8
  • 万方数据
    中华全科医师杂志 중화전과의사잡지
    CHINESE JOURNAL OF GENERAL PRACTITIONERS
    2012年 10期 748-752 ,共5页

    杨光燃%袁申元%傅汉菁%万钢%朱良湘%袁明霞%潘素芳%卜祥雷%张建东%杜雪平%李玉玲%季宇%谷晓宁%李月%崔学利%白薇%陈玉洁%王自明%程淑艳%高迎%柳德元%王益品

    양광연%원신원%부한정%만강%주량상%원명하%반소방%복상뢰%장건동%두설평%리옥령%계우%곡효저%리월%최학리%백미%진옥길%왕자명%정숙염%고영%류덕원%왕익품

    糖尿病,2型%血脂异常%患病率 糖尿病,2型%血脂異常%患病率
    당뇨병,2형%혈지이상%환병솔
    Diabetes,type 2%Dyslipidemia%Prevalence
    目的 了解北京社区2型糖尿病患者血脂异常状况.方法 选择2008年8月至2009年7月北京三甲医院与15个城区社区联合开展糖尿病纵向管理项目基线数据库中的3316例2型糖尿病患者,分析其血脂情况.血脂异常的诊断根据2007年中国成人血脂异常防治指南.结果 ①3316例中男性1329例,女性1987例,平均年龄(65±10)岁.75.6％ (2506/3316)患者至少有一种血脂异常,其中男性72.5％(964/1329),女性77.6％(1542/1987);②高TG血症、高TC血症的患病率分别为41.9％(1388/3316)、48.1％(1595/3316),31.5％(1043/3316)患者LDL-C水平升高,21.2％(703/3316)患者HDL-C水平降低;血脂异常患者中已接受降脂药治疗者575例(22.9％),有血脂异常史者1393例TG、总TC、LDL-C和HDL-C的达标率分别为48.0％ (669/1393)、17.4％(242/1393)、30.9％ (430/1393)和75.8％(1056/1393);③血脂异常组患者BMI、腰围、血压、血糖、糖化血红蛋白及尿酸水平均较高;④超重、血糖控制未达标组有较高的血脂异常患病率,分别为79.0％(1678/2125)、78.9％ (1756/2227);⑤回归分析显示,血脂异常与性别、年龄、糖化血红蛋白、BMI均相关.结论 北京社区2型糖尿病患者血脂异常患病率较高,血脂异常人群中接受降脂药物治疗率很低.血脂异常与年龄、BMI及糖化血红蛋白均有关.对社区2型糖尿病患者除控制血糖外,还应重视脂代谢紊乱.
    목적 료해북경사구2형당뇨병환자혈지이상상황.방법 선택2008년8월지2009년7월북경삼갑의원여15개성구사구연합개전당뇨병종향관리항목기선수거고중적3316례2형당뇨병환자,분석기혈지정황.혈지이상적진단근거2007년중국성인혈지이상방치지남.결과 ①3316례중남성1329례,녀성1987례,평균년령(65±10)세.75.6％ (2506/3316)환자지소유일충혈지이상,기중남성72.5％(964/1329),녀성77.6％(1542/1987);②고TG혈증、고TC혈증적환병솔분별위41.9％(1388/3316)、48.1％(1595/3316),31.5％(1043/3316)환자LDL-C수평승고,21.2％(703/3316)환자HDL-C수평강저;혈지이상환자중이접수강지약치료자575례(22.9％),유혈지이상사자1393례TG、총TC、LDL-C화HDL-C적체표솔분별위48.0％ (669/1393)、17.4％(242/1393)、30.9％ (430/1393)화75.8％(1056/1393);③혈지이상조환자BMI、요위、혈압、혈당、당화혈홍단백급뇨산수평균교고;④초중、혈당공제미체표조유교고적혈지이상환병솔,분별위79.0％(1678/2125)、78.9％ (1756/2227);⑤회귀분석현시,혈지이상여성별、년령、당화혈홍단백、BMI균상관.결론 북경사구2형당뇨병환자혈지이상환병솔교고,혈지이상인군중접수강지약물치료솔흔저.혈지이상여년령、BMI급당화혈홍단백균유관.대사구2형당뇨병환자제공제혈당외,환응중시지대사문란.
    Objective To investigate the prevalence of dyslipidemia in subjects with type 2 diabetes mellitus in Beijing urban communities.Methods Total 3316 subjects with type 2 diabetes (age 20-80 years) were recruited from 15 urban community health centers in Beijing using a multi-stage random sampling approach.Dyslipidemia was diagnosed according to Chinese Guidelines on Prevention and Treatment of Dyslipidemia in Adults:2007 version.Results Among 3316 diabetic subjects (1329 malesand 1987 females),75.6％ (2506/3316) had dyslipidemia,the prevalence was 72.5％ (964/1329)in men and 77.6％ (1542/1987) in women.The prevalence of hypertriglyceridemia and hypercholesterolemia was 41.9％ (1388/3316) and 48.1％ (1595/3316),respectively.31.5％ (1043/3316) subjects had high levels of low-density lipoprotein cholesterol (LDL-C) and 21.2％ (703/3316) had low high-density lipoprotein cholesterol (HDL-C).Among all subjects with dyslipidemia only 22.9％ (575/2506) took hypolipid agents.The overall blood lipid control rates of triglyceride (TG),total cholesterol (TC),LDL-C and HDL-C in 1393 subjects with dyslipidemia history were 48.0％ (669/1393),17.4％ (242/1393),30.9％ (430/1393) and 75.8％ (1056/1393),respectively.Diabetics with dyslipidemia had higher body mass index,waist circumference,blood pressure,plasma glucose and hemoglobin A1c.The prevalence of dyslipidemia in the overweight and uncontrolled-glucose group were 79.0％ (1678/2125),78.9％ (1756/2227),respectively.Logistic regression analysis showed that gender,age,body mass index and hemoglobin A1c were associated with dyslipidemia.Conclusions The prevalence of dyslipidemia in diabetic subjects in Beijing urban communities is high and less than one quarter patients take hypolipid agents.Age,body mass index and hemoglobin A1c are the risk factors of dyslipidemia in type 2 diabetic patients.
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